Active NPI
Maximillian Charles Pioter Kite, RAC
- Addiction (Substance Use Disorder) Counselor
- Santa Rosa, CA
National Provider Identifier
1326826181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 16078
- Practice address
- 2225 Challenger Way
Santa Rosa, CA 95407-5441 - Phone
- (707) 326-5927
- NPI assigned
- Sep 21, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 16078 | CA | Primary |
Addresses
Primary practice location
2225 Challenger Way
Santa Rosa, CA 95407-5441
Mailing address
2225 Challenger Way
Santa Rosa, CA 95407-5441
Phone (707) 326-5927
Other practice location 1
1450 Neotomas Ave
Santa Rosa, CA 95405-7537
Phone (707) 565-7466
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695254400000",
"number": "1326826181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2225 CHALLENGER WAY",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954075441",
"telephone_number": "707-326-5927"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2225 CHALLENGER WAY",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954075441",
"telephone_number": "707-326-5927"
}
],
"practiceLocations": [
{
"address_1": "1450 Neotomas Ave",
"address_purpose": "LOCATION",
"city": "Santa Rosa",
"state": "CA",
"postal_code": "954057537",
"country_code": "US",
"telephone_number": "707-565-7466",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KITE",
"first_name": "MAXIMILLIAN",
"middle_name": "CHARLES PIOTER",
"credential": "RAC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-09-21",
"last_updated": "2023-09-21",
"certification_date": "2023-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "16078",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Rosa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.