Active NPI
Irene Schell Capuchino, M.F.T.
- Marriage & Family Therapist
- San Jose, CA
National Provider Identifier
1316213473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC48795
- Practice address
- 49 North Fourth Street
San Jose, CA 95112 - Phone
- (408) 643-2283
- NPI assigned
- Mar 22, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFC 48795 | CA | |
| Marriage & Family Therapist | 106H00000X | MFC48795 | CA | Primary |
| Professional Counselor | 101YP2500X | LPCC 1243 | CA |
Addresses
Primary practice location
49 North Fourth Street
San Jose, CA 95112
Mailing address
49 North Fourth Street
San Jose, CA 95112
Phone (408) 643-2283
Other names 1
- Miss Irene Schell
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 31, 2024 through Jan 31, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPCC 1243 | CA | MD | Professional Counselor |
| MFC 48795 | CA | MD | Marriage & Family Therapist |
| MFC48795 | CA | MD | Marriage & Family Therapist |
| 1243 | CA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407974400000",
"number": "1316213473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "49 NORTH FOURTH STREET",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "95112",
"telephone_number": "408-643-2283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "49 NORTH FOURTH STREET",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "95112",
"telephone_number": "408-643-2283"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAPUCHINO",
"first_name": "IRENE",
"middle_name": "SCHELL",
"credential": "M.F.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-03-22",
"last_updated": "2014-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC 48795",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC48795",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "LPCC 1243",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "IRENE",
"last_name": "SCHELL",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2014; 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.