1891340188 NPI number — KIMBERLY ANN LANGLAIS RIPPY LPC

Table of content: KIMBERLY ANN LANGLAIS RIPPY LPC (NPI 1891340188)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1891340188 NPI number — KIMBERLY ANN LANGLAIS RIPPY LPC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
RIPPY
Provider First Name:
KIMBERLY
Provider Middle Name:
ANN LANGLAIS
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
LPC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
LANGLAIS
Provider Other First Name:
KIMBERLY
Provider Other Middle Name:
ANN
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
LPC
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1891340188
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/03/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5641 BURKE CENTRE PKWY STE 118
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BURKE
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
22015-2261
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
703-390-1182
Provider Business Mailing Address Fax Number:
844-269-1569

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5641 BURKE CENTRE PKWY STE 118
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BURKE
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
22015-2261
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
703-390-1182
Provider Business Practice Location Address Fax Number:
844-269-1569
Provider Enumeration Date:
08/05/2019

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YP2500X , with the licence number:  0701008539 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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