Rebecca S Kita, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LC9465 Issued in ME

Practice address

75 Washington Ave
Portland, ME 04101-2665

Phone

(207) 772-4110

NPI assigned

May 26, 2010

Sex

Female

Sole proprietor

Yes

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.

• Annie E. Casey Foundation

  • Case Management Agency
  • Portland, ME
  • NPI 1053373183
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1274832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274832000000",
    "number": "1629397948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 WASHINGTON AVE",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041012665",
            "telephone_number": "207-772-4110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 WASHINGTON AVE",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041012665",
            "telephone_number": "207-772-4110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KITA",
        "first_name": "REBECCA",
        "middle_name": "S",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-26",
        "last_updated": "2010-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ME",
            "license": "LC9465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Ryan Kingsbury, PH.D.
• Rachel Saltzman Kinsler, LCSW
• Jennifer L Kirsch, DO
• Kelly Ann Kirtland, DDS,MS,MA
• Annette M Kissin, NP
• Carri Nix Kivela, M.S., N.P.-C.
• Rabee A Kiwan, MD
• Russell Scott Kizor, MD
• Andrea Shelley Klayman, M.D.
• Brian C. Klazynski, M.D

• All providers in Portland, ME
• Mental Health Counselor in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2010; 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.