Provider Demographics
NPI:1093284424
Name:KRISTIN KRIPPA CONSULTING, PLLC
Entity Type:Organization
Organization Name:KRISTIN KRIPPA CONSULTING, PLLC
Other - Org Name:KRIPPA FAMILY PSYCHOLOGICAL SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/LICENSED PSYCHOLOGICAL ASSOCI
Authorized Official - Prefix:MS
Authorized Official - First Name:KRISTIN
Authorized Official - Middle Name:A
Authorized Official - Last Name:KRIPPA
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPA
Authorized Official - Phone:919-454-4450
Mailing Address - Street 1:560 DOE RUN DR
Mailing Address - Street 2:
Mailing Address - City:SANFORD
Mailing Address - State:NC
Mailing Address - Zip Code:27330-7995
Mailing Address - Country:US
Mailing Address - Phone:919-454-4450
Mailing Address - Fax:
Practice Address - Street 1:200 EAST ST
Practice Address - Street 2:
Practice Address - City:PITTSBORO
Practice Address - State:NC
Practice Address - Zip Code:27312-9730
Practice Address - Country:US
Practice Address - Phone:919-544-4450
Practice Address - Fax:919-726-2015
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-14
Last Update Date:2020-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental HealthGroup - Multi-Specialty