Kim Ruth Kupfer Meares, MFT
Individual provider Active NPI Marriage & Family Therapist · Lake Arrowhead, CA
NPI 1457574972 · NPPES record last updated Oct 22, 2018
Key facts
- NPI
- 1457574972
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- MFC27299 (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
- Sex
- Female
- Sole proprietor
- Yes
Medicare Care Compare profile
- 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)
Lake Arrowhead, CA 92352
Phone (909) 936-1742
PO Box
Suite 954
Lake Arrowhead, CA 92352-0954
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250422003598 | CA | Practitioner - Marriage and Family Therapist | 1052836012 | Practice locations: Lake Arrowhead, CA |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC21299 | CA | MD | Marriage & Family Therapist |
| MFC27299 | CA | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFC21299 | CA | |
| Marriage & Family Therapist | 106H00000X | MFC27299 | CA | Yes |
Addresses
Primary practice location
27299 Hospital Road
Suite 107
Lake Arrowhead, CA 92352
Mailing address
PO Box 954
Lake Arrowhead, CA 92352
Phone (909) 383-7100
Other names
- Mrs. Kim Ruth Kupfer
Other providers in Lake Arrowhead, CA
- Lisa Lynne Hower
- Lisa James
- Kieth J. Burkart, O.D., a Professional Corporation
- Edwin Kazuo Kikuchi
- 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
All providers in Lake Arrowhead, CA · Marriage & Family Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 22, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.