Active NPI
Rachele Jean Caputo, LCMHC
- Mental Health Counselor
- Conover, NC
National Provider Identifier
1386995355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 9608
- Practice address
- 201 Conover Sta SE Ste B
Conover, NC 28613-1940 - Phone
- (980) 231-0955
- NPI assigned
- Sep 30, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | A9608 | NC | |
| Mental Health Counselor | 101YM0800X | 9608 | NC | Primary |
Addresses
Primary practice location
201 Conover Sta SE Ste B
Conover, NC 28613-1940
Mailing address
PO Box 35
Conover, NC 28613-0035
Phone (980) 231-0955
Other practice location 1
17830 Statesville Rd
Suite 235
Cornelius, NC 28031-9173
Phone (980) 231-0955
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9608 | Other | NC | NORTH CAROLINA BOARD OF LICENSED CLINICAL MENTAL HEALTH COUNSELORS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Previously, effective Sep 1, 2024 through Sep 1, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A9608 | NC | MD | Professional Counselor |
| 9608 | NC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599609600000",
"number": "1386995355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 35",
"city": "CONOVER",
"state": "NC",
"postal_code": "286130035",
"telephone_number": "980-231-0955",
"fax_number": "704-705-1560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 CONOVER STA SE STE B",
"city": "CONOVER",
"state": "NC",
"postal_code": "286131940",
"telephone_number": "980-231-0955"
}
],
"practiceLocations": [
{
"address_1": "17830 Statesville Rd",
"address_2": "Suite 235",
"address_purpose": "LOCATION",
"city": "Cornelius",
"state": "NC",
"postal_code": "280319173",
"country_code": "US",
"telephone_number": "980-231-0955",
"fax_number": "704-973-9471",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CAPUTO",
"first_name": "RACHELE",
"middle_name": "JEAN",
"name_prefix": "Ms.",
"credential": "LCMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-09-30",
"last_updated": "2020-09-09",
"certification_date": "2020-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "A9608",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "9608",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NORTH CAROLINA BOARD OF LICENSED CLINICAL MENTAL HEALTH COUNSELORS",
"identifier": "9608",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Conover, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2020; 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.