Marie Amelia Capobianco, MA, CAGS, LCMHC
Individual provider Active NPI Mental Health Counselor · Warwick, RI
NPI 1306285143 · NPPES record last updated Jun 14, 2013
Key facts
- NPI
- 1306285143
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- MHC00575 (RI)
- Practice address
- 160 George Arden Ave
Warwick, RI 02886-4845 - Phone
- (401) 921-5193
- Fax
- (401) 751-1378
- NPI assigned
- Jun 14, 2013
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in RI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240117000375 | RI | Practitioner - Mental Health Counselor | 0941652887 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MHC00575 | RI | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Community Health Care | Current |
Accepting new patients | |
| Northwest Community Health Care | Current |
Accepting new patients | |
| Northwest Community Health Care | Current | Accepting new patients |
Locations
36 Bridge Way
Pascoag, RI 02859
Phone (401) 567-0800
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MHC00575 | RI | Yes |
Addresses
Primary practice location
160 George Arden Ave
Warwick, RI 02886-4845
Mailing address
160 George Arden Ave
Warwick, RI 02886-4845
Phone (401) 921-5193
Other providers in Warwick, RI
- Thomas Ly Cao
- Alyssa Jeanne Caouette
- Mary Ann Caouette
- John Capaldi
- Zachary David Capizzano
- Marie Elizabeth Capobianco
- Karen Anne Capoverde
- Ryan Kenneth Capuano
- Isamar Caraballo
- Natalia Rivers Carbone
All providers in Warwick, RI · Mental Health Counselor in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 14, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.