Jessica Caroline Capuozzo

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

087142 Issued in NY

Practice address

142 Oxford PL
Staten Island, NY 10301-3017

Phone

(917) 952-6626

NPI assigned

Jul 26, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Valera Medical, P.C.

  • Psychiatry Physician
  • Brooklyn, NY
  • NPI 1437782349

  Mental Health

  Medicare reassignment NPD

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

{
    "created_epoch": "1658793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658793600000",
    "number": "1578299251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 OXFORD PL",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103013017",
            "telephone_number": "917-952-6626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 OXFORD PL",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103013017",
            "telephone_number": "917-952-6626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPUOZZO",
        "first_name": "JESSICA",
        "middle_name": "CAROLINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-26",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "087142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "087142",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Renzo Capraro, DDS
• Christina Caprino, FNP
• Cheryl Capriola
• Captivate Physical Therapy
• Joseph Capuano
• Jacqueline Rose Caputo, OTR
• Joseph V Caputo, CRNA
• Rita G Caputo, LMHC
• William Edward Caputo, M.D.
• Drew Caraballo, NP

• Mental Health Counselor in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2022; 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.

Verify at the official NPI Registry.