NPIMap

Individual provider Active NPI

Maxwell Reid Ruegsegger, DP-C

  • Addiction (Substance Use Disorder) Counselor
  • Owosso, MI
National Provider Identifier
1366070831
Registry record updated Mar 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Practice address
1480 N M 52
Owosso, MI 48867-1290
Phone
(989) 723-8239
Fax
(989) 723-8230
NPI assigned
Mar 31, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X Primary

Addresses

Primary practice location

1480 N M 52
Owosso, MI 48867-1290

Mailing address

1480 N M 52 Ste 1
Owosso, MI 48867-1025
Phone (989) 723-8230

Other practice location 1

863 N Pine Rd Ste A
Essexville, MI 48732-2159
Phone (989) 928-3566

Other practice location 2

211 N Shiawassee St Ste A
Corunna, MI 48817-1444
Phone (989) 494-0404

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

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Charities of Shiawassee and Genesee Counties CurrentSince Mar 21, 2021 Accepting new patients
Recovery Pathways, LLC CurrentSince Sep 5, 2018 Accepting new patients
Recovery Pathways, LLC CurrentSince Jul 9, 2023 Accepting new patients
Catholic Charities of Shiawassee and Genesee Counties PastSince Mar 21, 2021 Accepting new patients

Locations

211 N Shiawassee St
Ste A
Corunna, MI 48817
Phone (989) 494-0404

863 N Pine Rd
Ste A
Essexville, MI 48732
Phone (356) 698-9928

1480 N M 52
Ste 1
Owosso, MI 48867
Phone (989) 723-8230

Organizations & group practices 4

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": "1585612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616112000000",
    "number": "1366070831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1480 N M 52 STE 1",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488671025",
            "telephone_number": "989-723-8230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1480 N M 52",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488671290",
            "telephone_number": "989-723-8239",
            "fax_number": "989-723-8230"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "863 N Pine Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Essexville",
            "state": "MI",
            "postal_code": "487322159",
            "country_code": "US",
            "telephone_number": "989-928-3566",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "211 N Shiawassee St Ste A",
            "address_purpose": "LOCATION",
            "city": "Corunna",
            "state": "MI",
            "postal_code": "488171444",
            "country_code": "US",
            "telephone_number": "989-494-0404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUEGSEGGER",
        "first_name": "MAXWELL",
        "middle_name": "REID",
        "credential": "DP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-31",
        "last_updated": "2021-03-19",
        "certification_date": "2021-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owosso, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2021; 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.