Individual provider Active NPI

Maximilian Fiorella

  • Professional Counselor
  • Kansas City, KS
National Provider Identifier
1912722174
Registry record updated Jul 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
05026 Issued in KS
Practice address
7840 Washington Avenue
Kansas City
Kansas City, KS 66112
Phone
(913) 563-6500
NPI assigned
Nov 21, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 05026 KS Primary

Addresses

Primary practice location

7840 Washington Avenue
Kansas City
Kansas City, KS 66112

Mailing address

7840 Washington Ave
Kansas City, KS 66112-2152
Phone (913) 563-6500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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

Enrollment IDStateProvider typePAC IDDetails
I20250829002995 KS Practitioner - Mental Health Counselor 7012418122 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

757 Armstrong Ave
Kansas City, KS 66101-2701

7840 Washington Ave
Kansas City, KS 66112-2152

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
05026KSMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Wyandot Center for Community Behavioral Healthcare, Inc. CurrentSince Jun 12, 2025 Accepting new patients

Locations

1301 N 47th St
Kansas City, KS 66102
Phone (913) 287-0007

757 Armstrong Ave
Kansas City, KS 66101

7840 Washington Ave
Kansas City, KS 66112
Phone (913) 328-4600

Organizations & group practices 1

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": "1732147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752364800000",
    "number": "1912722174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7840 WASHINGTON AVE",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661122152",
            "telephone_number": "913-563-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7840 WASHINGTON AVENUE",
            "address_2": "KANSAS CITY",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "66112",
            "telephone_number": "913-563-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIORELLA",
        "first_name": "MAXIMILIAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-11-21",
        "last_updated": "2025-07-13",
        "certification_date": "2025-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KS",
            "license": "05026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, KS

Sources for this page

Verify at the official NPI Registry.