Emily Jane Capps, LCMHCS, LCAS, CCS

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

2977 Issued in NC

Practice address

2208 US Highway 421 N Ste 1
Boone, NC 28607-7692

Phone

(828) 268-8041

NPI assigned

Feb 21, 2012

Last updated

Nov 20, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Broken Angel Counseling PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Boone, NC
  • NPI 1053151589
  Authorized official Same address or phone

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

{
    "created_epoch": "1329782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1003189101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2208 US HIGHWAY 421 N STE 1",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286077692",
            "telephone_number": "724-968-2435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2208 US HIGHWAY 421 N STE 1",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286077692",
            "telephone_number": "828-268-8041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPPS",
        "first_name": "EMILY",
        "middle_name": "JANE",
        "credential": "LCMHCS, LCAS, CCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-21",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "2977",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "9362",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shirley Campbell, LPN
• Chelsea Cannon, PT
• William Canu, PH.D.
• Capital Care Resources, LLC (CenterWell Home Health)
• Ashlee Capponi, PA-C
• Caring Mind Counseling PLLC
• Carolinas Cognitive Care, Inc.
• Carolinas Physicians Network Inc
• Carolinas Physicians Network Inc (The Sanger Clinic)
• Taylor Carrillo, LCSW-A

• Addiction (Substance Use Disorder) Counselor in Boone, NC
• Providers in Boone, NC by specialty
• Addiction (Substance Use Disorder) Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.