Individual provider Active NPI

Jaimie Marie Caporossi

  • Counselor
  • Manchester, CT
National Provider Identifier
1285829846
Registry record updated Sep 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
345 Buckland Hills Dr
Apt # 16233
Manchester, CT 06042-8704
Phone
(203) 824-0939
NPI assigned
Sep 7, 2007
Last updated
Sep 7, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X CT Primary

Addresses

Primary practice location

345 Buckland Hills Dr
Apt # 16233
Manchester, CT 06042-8704

Mailing address

345 Buckland Hills Dr
Apt # 16233
Manchester, CT 06042-8704
Phone (203) 824-0939

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
127750692CTMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1189123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189123200000",
    "number": "1285829846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 BUCKLAND HILLS DR",
            "address_2": "APT # 16233",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060428704",
            "telephone_number": "203-824-0939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 BUCKLAND HILLS DR",
            "address_2": "APT # 16233",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060428704",
            "telephone_number": "203-824-0939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPOROSSI",
        "first_name": "JAIMIE",
        "middle_name": "MARIE",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-07",
        "last_updated": "2007-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2007; 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.