Individual provider Active NPI

Christopher Earl Ruper, LMFT

  • Marriage & Family Therapist
  • Orange, CA
National Provider Identifier
1417452194
Registry record updated Dec 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT130943 Issued in CA
Practice address
406 S Glassell Ave
Orange, CA 92866
Phone
(949) 639-9332
NPI assigned
Mar 26, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X IMF102444 CA
Marriage & Family Therapist 106H00000X LMFT130943 CA Primary

Addresses

Primary practice location

406 S Glassell Ave
Orange, CA 92866

Mailing address

PO Box 4184
Newport Beach, CA 92661-4184
Phone (714) 776-7490

Other practice location 1

1321 E Balboa Blvd
Newport Beach, CA 92661-1436
Phone (949) 639-9332

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
IMF102444CAMDMarriage & Family Therapist
LMFT130943CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Heredia Family Therapy, Inc Marriage & Family Therapist PastSince Oct 9, 2022 Accepting new patients
Heredia Family Therapy, Inc PastSince May 8, 2022 Accepting new patients

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": "1522022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670889600000",
    "number": "1417452194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4184",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926614184",
            "telephone_number": "714-776-7490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 S GLASSELL AVE",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "92866",
            "telephone_number": "949-639-9332"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1321 E Balboa Blvd",
            "address_purpose": "LOCATION",
            "city": "Newport Beach",
            "state": "CA",
            "postal_code": "926611436",
            "country_code": "US",
            "telephone_number": "949-639-9332",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUPER",
        "first_name": "CHRISTOPHER",
        "middle_name": "EARL",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-26",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF102444",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT130943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.