Marie Amelia Capobianco, MA, CAGS, LCMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MHC00575 Issued in RI

Practice address

160 George Arden Ave
Warwick, RI 02886-4845

Phone

(401) 921-5193

Fax

(401) 751-1378

NPI assigned

Jun 14, 2013

Last updated

Jun 14, 2013By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in RI

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Northwest Community Health Care

  dba WellOne Primary Medical and Dental Care

  • Community Health Clinic/Center
  • N Kingstown, RI
  • NPI 1801951397
  Medicare reassignment NPD
• Northwest Community Health Care

  • Federally Qualified Health Center (FQHC)
  • Scituate, RI
  • NPI 1003362864
  NPD
• Northwest Community Health Care

  dba WellOne Primary Medical and Dental Care

  • Federally Qualified Health Center (FQHC)
  • Pascoag, RI
  • NPI 1245219070
  NPD

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

{
    "created_epoch": "1371168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371168000000",
    "number": "1306285143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 GEORGE ARDEN AVE",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028864845",
            "telephone_number": "401-921-5193",
            "fax_number": "401-751-1378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 GEORGE ARDEN AVE",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028864845",
            "telephone_number": "401-921-5193",
            "fax_number": "401-751-1378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPOBIANCO",
        "first_name": "MARIE",
        "middle_name": "AMELIA",
        "credential": "MA, CAGS, LCMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-14",
        "last_updated": "2013-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "RI",
            "license": "MHC00575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Ly Cao, PA-C
• Alyssa Jeanne Caouette, PA-C
• Mary Ann Caouette, NP
• John Capaldi, CIT
• Zachary David Capizzano
• Marie Elizabeth Capobianco, MA, LMHC, LCDP, CCJP
• Karen Anne Capoverde, LICSW
• Ryan Kenneth Capuano, LCSW
• Isamar Caraballo
• Natalia Rivers Carbone

• Mental Health Counselor in Warwick, RI
• Providers in Warwick, RI by specialty
• Mental Health Counselor in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2013; 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.