Kim Ruth Kupfer Meares, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC27299 Issued in CA

Practice address

27299 Hospital Road
Suite 107
Lake Arrowhead, CA 92352

Phone

(909) 383-7100

Fax

(909) 890-0244

NPI assigned

Apr 11, 2007

Last updated

Oct 22, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Mrs. Kim Ruth Kupfer Former name

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

Specialty

Marriage and Family Therapist

Education

Loma Linda University School of Medicine, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540166400000",
    "number": "1457574972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 954",
            "city": "LAKE ARROWHEAD",
            "state": "CA",
            "postal_code": "92352",
            "telephone_number": "909-383-7100",
            "fax_number": "909-890-0244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27299 HOSPITAL ROAD",
            "address_2": "SUITE 107",
            "city": "LAKE ARROWHEAD",
            "state": "CA",
            "postal_code": "92352",
            "telephone_number": "909-383-7100",
            "fax_number": "909-890-0244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUPFER MEARES",
        "first_name": "KIM",
        "middle_name": "RUTH",
        "name_prefix": "Mrs.",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-11",
        "last_updated": "2018-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC21299",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC27299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIM",
            "last_name": "KUPFER",
            "middle_name": "RUTH",
            "prefix": "MRS.",
            "credential": "MFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Corey K Houmand, DDS
• Lisa James, RN
• Kieth J. Burkart, O.D., a Professional Corporation
• Edwin Kazuo Kikuchi, MSW
• Knots and Hands
• Kyi Kyi Thwin Win MD Inc
• Lake Arrowhead Fire District
• Lake Arrowhead Home Health Care, LLC
• Lake Arrowhead Physical Therapy
• Lake Arrowhead Recovery Center

• Marriage & Family Therapist in Lake Arrowhead, CA
• Providers in Lake Arrowhead, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.