Active NPI
Shauna Cappetti
- Professional Counselor
- Parsippany, NJ
National Provider Identifier
1356109136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 37PC01038800
- Practice address
- 4 Century Dr Ste 100
Parsippany, NJ 07054-4606 - Phone
- (732) 982-2888
- NPI assigned
- Mar 7, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 37AC00588900 | NJ | |
| Professional Counselor | 101YP2500X | 37PC01038800 | NJ | Primary |
Addresses
Primary practice location
4 Century Dr Ste 100
Parsippany, NJ 07054-4606
Mailing address
67 Randolph PL
West Orange, NJ 07052-4809
Phone (631) 894-8231
Other practice location 1
67 Randolph Pl
West Orange, NJ 07052-4809
Phone (631) 894-8231
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37AC00588900 | NJ | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PHC of Buffalo Grove Clinical Psychology | 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.
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- Vernon Hills, IL
- NPI 1235430612
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1709769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720396800000",
"number": "1356109136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "67 RANDOLPH PL",
"city": "WEST ORANGE",
"state": "NJ",
"postal_code": "070524809",
"telephone_number": "631-894-8231"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 CENTURY DR STE 100",
"city": "PARSIPPANY",
"state": "NJ",
"postal_code": "070544606",
"telephone_number": "732-982-2888"
}
],
"practiceLocations": [
{
"address_1": "67 Randolph Pl",
"address_purpose": "LOCATION",
"city": "West Orange",
"state": "NJ",
"postal_code": "070524809",
"country_code": "US",
"telephone_number": "631-894-8231",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CAPPETTI",
"first_name": "SHAUNA",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-03-07",
"last_updated": "2024-07-08",
"certification_date": "2024-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NJ",
"license": "37AC00588900",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NJ",
"license": "37PC01038800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Parsippany, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2024; 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.