Active NPI
Christopher D Konopa, LMFT
- Marriage & Family Therapist
- Los Gatos, CA
National Provider Identifier
1053137406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 148210
- Practice address
- 236 N Santa Cruz Ave Ste 249
Los Gatos, CA 95030-7262 - Phone
- (831) 402-2283
- NPI assigned
- Dec 2, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 148210 | CA | Primary |
Addresses
Primary practice location
236 N Santa Cruz Ave Ste 249
Los Gatos, CA 95030-7262
Mailing address
PO Box 2275
Boulder Creek, CA 95006-2275
Phone (831) 402-2283
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Aug 1, 2025 through Aug 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 148210 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1733097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733616000000",
"number": "1053137406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2275",
"city": "BOULDER CREEK",
"state": "CA",
"postal_code": "950062275",
"telephone_number": "831-402-2283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "236 N SANTA CRUZ AVE STE 249",
"city": "LOS GATOS",
"state": "CA",
"postal_code": "950307262",
"telephone_number": "831-402-2283"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KONOPA",
"first_name": "CHRISTOPHER",
"middle_name": "D",
"name_prefix": "Mr.",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-12-02",
"last_updated": "2024-12-08",
"certification_date": "2024-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "148210",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Gatos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.