Individual provider Active NPI

Marie Elisa Capizzi, MS APCC

  • Professional Counselor
  • San Diego, CA
National Provider Identifier
1396305462
Registry record updated May 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
18978 Issued in CA
Practice address
2302 6TH Ave Ste 7
San Diego, CA 92101-1643
Phone
(619) 836-2116
NPI assigned
Jun 19, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 18978 CA Primary

Addresses

Primary practice location

2302 6TH Ave Ste 7
San Diego, CA 92101-1643

Mailing address

2302 6TH Ave Ste 7
San Diego, CA 92101-1643
Phone (619) 836-2116

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250528003653 CA Practitioner - Mental Health Counselor 2860855681 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
18978CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Sud Specialty Group - Ca CurrentSince May 17, 2025 Accepting new patients
Community Research Foundation, Inc. Mental Health Past Accepting new patients
Community Research Foundation Inc Past Accepting new patients

Locations

5201 Great America Pkwy
Ste 320
Santa Clara, CA 95054
Phone (323) 968-6182

520 Broadway
Ste 200
Santa Monica, CA 90401
Phone (949) 280-5295

Organizations & group practices 3

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": "1560902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747353600000",
    "number": "1396305462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2302 6TH AVE STE 7",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921011643",
            "telephone_number": "619-836-2116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2302 6TH AVE STE 7",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921011643",
            "telephone_number": "619-836-2116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPIZZI",
        "first_name": "MARIE",
        "middle_name": "ELISA",
        "credential": "MS APCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-19",
        "last_updated": "2025-05-16",
        "certification_date": "2025-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "18978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.