Individual provider Active NPI

John Cappello, MA

  • Counselor
  • Newtown Square, PA
National Provider Identifier
1619440179
Registry record updated Mar 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
PC015291 Issued in PA
Practice address
218 E Chelsea Cir
Newtown Square, PA 19073-2108
Phone
(610) 805-0512
NPI assigned
Jan 8, 2019
Last updated
Mar 6, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X PC015291 PA Primary

Addresses

Primary practice location

218 E Chelsea Cir
Newtown Square, PA 19073-2108

Mailing address

301 Jeffrey LN
Newtown Square, PA 19073-2507
Phone (610) 805-0512

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: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

101 Greenwood Ave
Suite 430
Jenkintown, PA 19046-2681

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PC015291PAMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1546905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678060800000",
    "number": "1619440179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 JEFFREY LN",
            "city": "NEWTOWN SQUARE",
            "state": "PA",
            "postal_code": "190732507",
            "telephone_number": "610-805-0512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 E CHELSEA CIR",
            "city": "NEWTOWN SQUARE",
            "state": "PA",
            "postal_code": "190732108",
            "telephone_number": "610-805-0512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPPELLO",
        "first_name": "JOHN",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-01-08",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "PA",
            "license": "PC015291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newtown Square, PA

Sources for this page

Verify at the official NPI Registry.