Kimberly Capone

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

3345 Waikomo Rd Apt 1
Koloa, HI 96756-9764

Phone

(808) 652-1874

NPI assigned

Jun 21, 2011

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

Opted out of Medicare

Yes, effective Jan 25, 2024 through Jan 25, 2028

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Kimberly Capone

  • Mental Health Counselor
  • Londonderry, NH
  • NPI 1750053765
  NPD Authorized official

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

{
    "created_epoch": "1308614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706486400000",
    "number": "1174819932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3345 WAIKOMO RD APT 1",
            "city": "KOLOA",
            "state": "HI",
            "postal_code": "967569764",
            "telephone_number": "808-652-1874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3345 WAIKOMO RD APT 1",
            "city": "KOLOA",
            "state": "HI",
            "postal_code": "967569764",
            "telephone_number": "808-652-1874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPONE",
        "first_name": "KIMBERLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-21",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Briones, PH.D.
• Joseph W. Burris Jr., M.D., MPH
• Christina M Cano-Young, LCSW
• Daniel S Choi, MD
• Creative Therapy, Inc.
• Daniel S Choi MD Professional Corporation
• Frank Joseph Davis, D.C.
• Edward Franklin De Deo, D.C.

• Mental Health Counselor in Koloa, HI
• Providers in Koloa, HI by specialty
• Mental Health Counselor in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.