Individual provider Active NPI

Jonna Marie Capio, LMHC, MS, EDS

  • Mental Health Counselor
  • Bloomington, IN
National Provider Identifier
1629383617
Registry record updated Oct 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
39002467A Issued in IN
Practice address
205 N College Ave
Suite 430
Bloomington, IN 47404-3950
Phone
(812) 331-7773
Fax
(812) 822-1218
NPI assigned
Aug 13, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 39002467A IN Primary

Addresses

Primary practice location

205 N College Ave
Suite 430
Bloomington, IN 47404-3950

Mailing address

4972 E Heritage Woods Rd
Bloomington, IN 47401-9175
Phone (812) 331-7773

Other names 1

  • Jonna M Risher Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20240426002449 IN Practitioner - Mental Health Counselor 7911347737 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4972 E Heritage Woods Rd
Bloomington, IN 47401-9175
Phone (812) 331-7773

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jonna Marie Capio LMHC LLC Mental Health CurrentSince Feb 26, 2024 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1281657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477872000000",
    "number": "1629383617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4972 E HERITAGE WOODS RD",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474019175",
            "telephone_number": "812-331-7773",
            "fax_number": "812-822-1218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 N COLLEGE AVE",
            "address_2": "SUITE 430",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474043950",
            "telephone_number": "812-331-7773",
            "fax_number": "812-822-1218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPIO",
        "first_name": "JONNA",
        "middle_name": "MARIE",
        "credential": "LMHC, MS, EDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-13",
        "last_updated": "2016-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39002467A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JONNA",
            "last_name": "RISHER",
            "middle_name": "M",
            "credential": "LMHC, MS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bloomington, IN

Sources for this page

Verify at the official NPI Registry.