Individual provider Active NPI

Cristine Cappo, LBS

  • Mental Health Counselor
  • West Chester, PA
National Provider Identifier
1336721752
Registry record updated Apr 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
BH005339 Issued in PA
Practice address
200 Skiles Blvd
West Chester, PA 19382-7321
Phone
(610) 455-4040
NPI assigned
Apr 26, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X BH005339 PA Primary

Addresses

Primary practice location

200 Skiles Blvd
West Chester, PA 19382-7321

Mailing address

200 Skiles Blvd
West Chester, PA 19382-7321
Phone (610) 455-4040

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://app.fusionwebclinic.com/

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
BH005339PAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
First Children Learning Services, LLC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1619395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619395200000",
    "number": "1336721752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 SKILES BLVD",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193827321",
            "telephone_number": "610-455-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 SKILES BLVD",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193827321",
            "telephone_number": "610-455-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPPO",
        "first_name": "CRISTINE",
        "credential": "LBS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-26",
        "last_updated": "2021-04-26",
        "certification_date": "2021-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "BH005339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://app.fusionwebclinic.com/",
            "affiliation": "N",
            "address_1": "200 Skiles Blvd",
            "city": "West Chester",
            "state": "PA",
            "country_code": "US",
            "postal_code": "193827321",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West Chester, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2021; 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.