Active NPI
Christopher Earl Ruper, LMFT
- Marriage & Family Therapist
- Orange, CA
National Provider Identifier
1417452194
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LMFT130943
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| IMF102444 | CA | MD | Marriage & Family Therapist |
| LMFT130943 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heredia Family Therapy, Inc | Marriage & Family Therapist | Past | Accepting new patients |
| Heredia Family Therapy, Inc | Past | 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.
-
- Marriage & Family Therapist
- City of Industry, CA
- NPI 1326553926
-
- Occupational Therapist
- City of Industry, CA
- NPI 1386380103
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.