Individual provider Active NPI

Christina Ann Kupfer Ruud, MA, LPCC

  • Professional Counselor
  • Maplewood, MN
National Provider Identifier
1124741921
Registry record updated Feb 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
5214 Issued in MN
Practice address
2365 Ariel St N
Maplewood, MN 55109-2248
Phone
(612) 895-4575
NPI assigned
Sep 26, 2022
Last updated
Feb 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 5214 MN Primary

Addresses

Primary practice location

2365 Ariel St N
Maplewood, MN 55109-2248

Mailing address

2365 Ariel St N
Maplewood, MN 55109-2248
Phone (612) 895-4575

Other names 1

  • Christina Ann Kupfer Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20251015003005 MN Practitioner - Mental Health Counselor 4284121013 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Minnesota Teen Challenge, IncGroup PAC ID 0840656856, 22 clinicians

Practice addresses (Care Compare)

2365 Ariel St N
Maplewood, MN 55109-2248
Phone (612) 373-3366

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
5214MNMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Minnesota Teen Challenge, Inc CurrentSince Oct 1, 2025 Accepting new patients
Summer Counseling and Behavioral Health Summer Counseling Professional PastSince Nov 7, 2024 Accepting new patients

Locations

740 E 24th St
Minneapolis, MN 55404
Phone (612) 238-6238

2365 Ariel St N
Saint Paul, MN 55109
Phone (612) 777-8987

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1664150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770336000000",
    "number": "1124741921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2365 ARIEL ST N",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551092248",
            "telephone_number": "612-895-4575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2365 ARIEL ST N",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551092248",
            "telephone_number": "612-895-4575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUPFER RUUD",
        "first_name": "CHRISTINA",
        "middle_name": "ANN",
        "credential": "MA, LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-26",
        "last_updated": "2026-02-06",
        "certification_date": "2026-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "5214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINA",
            "last_name": "KUPFER",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Maplewood, MN

Sources for this page

Verify at the official NPI Registry.