John Domenic Capachione, LPC – Professional Counselor

Key facts

NPI: 1437324993
Entity type: Individual (NPI type 1)
Primary specialty: Professional Counselor 101YP2500X
License: LPC004074 (GA)
Practice address: 1100 Brampton Ave Ste N
Statesboro, GA 30458-0871
Phone: (912) 266-9094
NPI assigned: Apr 25, 2008
Sex: Male
Sole proprietor: Yes

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.

Recovery & Support Alliance, LLC Community/Behavioral Health Agency · Savannah, GA · NPI 1740446616

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
LPC004074	GA	MD	Professional Counselor

Practice roles

Organization	Specialty	Status	New patients
Recovery & Support Alliance, LLC		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Professional Counselor	101YP2500X	LPC004074	GA	Yes

Addresses

Primary practice location

1100 Brampton Ave Ste N
Statesboro, GA 30458-0871

Mailing address

7025 Hodgson Memorial Dr
Ste. D
Savannah, GA 31406-2568
Phone (912) 352-8801

Other practice location 1

1100 Brampton Ave Ste N
Statesboro, GA 30458-0871
Phone (912) 266-9094

Other providers in Statesboro, GA

All providers in Statesboro, GA · Professional Counselor in Georgia

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 10, 2018. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.