Peter Jason Rippentrop, MA, LPCC

Primary specialty

Social WorkerTaxonomy code 104100000X

License

CC00355 Issued in MN

Practice address

309 Lake Hazeltine Dr
Chaska, MN 55318-1033

Phone

(952) 567-8259

Fax

(952) 368-8888

NPI assigned

Oct 14, 2011

Last updated

Jul 10, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Jason Rippentrop Other name

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Nystrom & Associates, LTD

  dba Sagent Behavioral Health

  • Clinical Social Worker
  • New Brighton, MN
  • NPI 1396750188
  Medicare reassignment NPD
• Carver County

  dba Carver County Mental Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Waconia, MN
  • NPI 1326049685
  NPD (past)
• Carver County

  dba Carver County Health and Human Services

  • Case Management Agency
  • Chaska, MN
  • NPI 1912355652
  NPD (past)
• Family Support Services Inc.

  dba Sagent Behavioral Health

  • Mental Health Counselor
  • New Brighton, MN
  • NPI 1467549220
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1318550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752105600000",
    "number": "1851676498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 E 4TH ST",
            "city": "CHASKA",
            "state": "MN",
            "postal_code": "553182102",
            "telephone_number": "952-361-1600",
            "fax_number": "952-361-1660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 LAKE HAZELTINE DR",
            "city": "CHASKA",
            "state": "MN",
            "postal_code": "553181033",
            "telephone_number": "952-567-8259",
            "fax_number": "952-368-8888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5725 Loftus Ln",
            "address_purpose": "LOCATION",
            "city": "Savage",
            "state": "MN",
            "postal_code": "553782717",
            "country_code": "US",
            "telephone_number": "952-952-6120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIPPENTROP",
        "first_name": "PETER",
        "middle_name": "JASON",
        "credential": "MA, LPCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-10-14",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "CC00355",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MN",
            "license": "CC00355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JASON",
            "last_name": "RIPPENTROP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Alexis Rivard, BA
• Erin Roberts
• Margaret Roberts, LMFT
• Melanie Rodgers

• Social Worker in Chaska, MN
• Providers in Chaska, MN by specialty
• Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.