Organization Active NPI

White Pine Wellness, LLC

  • Mental Health Counselor
  • Ewing, NJ
National Provider Identifier
1356009146
Registry record updated Nov 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
WHITE PINE WELLNESS, LLC
Practice address
1330 Parkway Ave Ste 7
Ewing, NJ 08628-3006
Phone
(609) 362-2378
NPI assigned
Nov 30, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2021

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

Authorized official

Name
Stephanie Payne Capecchi, LCSWNPI 1407522485
Title
Owner and Therapist
Phone
(609) 362-2378

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

1330 Parkway Ave Ste 7
Ewing, NJ 08628-3006

Mailing address

1330 Parkway Ave Ste 7
Ewing, NJ 08628-3006
Phone (609) 362-2378

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://whitepinewellnessnj.clientsecure.me/ Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1638230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638230400000",
    "number": "1356009146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 PARKWAY AVE STE 7",
            "city": "EWING",
            "state": "NJ",
            "postal_code": "086283006",
            "telephone_number": "609-362-2378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 PARKWAY AVE STE 7",
            "city": "EWING",
            "state": "NJ",
            "postal_code": "086283006",
            "telephone_number": "609-362-2378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE PINE WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-30",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A",
        "authorized_official_last_name": "CAPECCHI",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "PAYNE",
        "authorized_official_title_or_position": "OWNER AND THERAPIST",
        "authorized_official_telephone_number": "609-362-2378",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://whitepinewellnessnj.clientsecure.me/",
            "affiliation": "N",
            "endpointDescription": "Electronic Health Record",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct message",
            "address_1": "1330 Parkway Ave Ste 7",
            "city": "Ewing",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "086283006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ewing, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.