Individual provider Active NPI

Christopher John Zures

  • Professional Counselor
  • San Diego, CA
National Provider Identifier
1174087696
Registry record updated Oct 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPCC5986 Issued in CA
Practice address
12625 High Bluff Dr Ste 215
San Diego, CA 92130-2054
Phone
(619) 213-2079
NPI assigned
Jan 29, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPCC5986 CA Primary
Mental Health Counselor 101YM0800X 12828430-6004 UT

Addresses

Primary practice location

12625 High Bluff Dr Ste 215
San Diego, CA 92130-2054

Mailing address

6113 Calera PL
San Diego, CA 92130-6923

Other practice location 1

4479 S Fortuna Way
Salt Lake City, UT 84124-3861
Phone (619) 213-2079

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20250604001572 CA Practitioner - Mental Health Counselor 6305355934 Practice locations: San Diego, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12828430-6004UTMDMental Health Counselor
LPCC5986CAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Wasatch Therapy Group Mental Health CurrentSince Nov 7, 2025 Accepting new patients
North County Therapy for Young Men CurrentSince Apr 7, 2025 Accepting new patients

Locations

5985 El Cajon Blvd
San Diego, CA 92115
Phone (619) 213-2079

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1548720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761177600000",
    "number": "1174087696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6113 CALERA PL",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921306923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12625 HIGH BLUFF DR STE 215",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921302054",
            "telephone_number": "619-213-2079"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4479 S Fortuna Way",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841243861",
            "country_code": "US",
            "telephone_number": "619-213-2079",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZURES",
        "first_name": "CHRISTOPHER",
        "middle_name": "JOHN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-01-29",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "LPCC5986",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "12828430-6004",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.