Individual provider Active NPI

Rick Hupp, M.S., LMFT

  • Marriage & Family Therapist
  • West Hills, CA
National Provider Identifier
1407246036
Registry record updated Oct 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
78320 Issued in CA
Practice address
23801 Haynes St
West Hills, CA 91307-3103
Phone
(818) 822-6644
NPI assigned
Feb 4, 2015
Last updated
Oct 22, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 78320 CA Primary

Addresses

Primary practice location

23801 Haynes St
West Hills, CA 91307-3103

Mailing address

23801 Haynes St
West Hills, CA 91307-3103
Phone (818) 822-6644

Other identifiers 1

IdentifierTypeStateIssuer
78320OtherCABBS

Other names 1

  • Richard Rodney Hupp Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 15, 2024 through Apr 15, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
78320CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1423008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540166400000",
    "number": "1407246036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23801 HAYNES ST",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913073103",
            "telephone_number": "818-822-6644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23801 HAYNES ST",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913073103",
            "telephone_number": "818-822-6644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUPP",
        "first_name": "RICK",
        "credential": "M.S., LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-02-04",
        "last_updated": "2018-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "78320",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BBS",
            "identifier": "78320",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RICHARD",
            "last_name": "HUPP",
            "middle_name": "RODNEY",
            "credential": "MS, LMFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in West Hills, CA

Sources for this page

Verify at the official NPI Registry.