Individual provider Active NPI

Maria Lia Cappabianca

  • Professional Counselor
  • Erie, PA
National Provider Identifier
1154465474
Registry record updated Aug 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC002701 Issued in PA
Practice address
2808 State St Ste 100
Erie, PA 16508-1830
Phone
(814) 981-0269
Fax
(814) 455-4146
NPI assigned
Feb 19, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2022

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 PC002701 PA Primary

Addresses

Primary practice location

2808 State St Ste 100
Erie, PA 16508-1830

Mailing address

5340 Niemeyer Rd
Erie, PA 16509-3237
Phone (814) 440-8384

Other identifiers 1

IdentifierTypeStateIssuer
251317492OtherVANTAGE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20240105001999 PA Practitioner - Mental Health Counselor 8820449630 Practice locations: Erie, PA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661472000000",
    "number": "1154465474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5340 NIEMEYER RD",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165093237",
            "telephone_number": "814-440-8384",
            "fax_number": "814-455-4146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2808 STATE ST STE 100",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165081830",
            "telephone_number": "814-981-0269",
            "fax_number": "814-455-4146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPPABIANCA",
        "first_name": "MARIA",
        "middle_name": "LIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-19",
        "last_updated": "2022-08-26",
        "certification_date": "2022-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC002701",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VANTAGE",
            "identifier": "251317492",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.