Susan Patricia Capitano, MS, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH5716 Issued in FL

Practice address

264 Paseo Reyes Dr
St Augustine, FL 32095-8462

Phone

(904) 610-0299

Fax

(904) 512-0474

NPI assigned

Jan 20, 2012

Last updated

Sep 10, 2022By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jul 1, 2025 through Jul 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• First Step Counseling Center

  • Mental Health Counselor
  • St Augustine, FL
  • NPI 1457739609
  Authorized official Same address or phone
• Catheter Partners, LLC

  • Durable Medical Equipment & Medical Supplies
  • Powell, OH
  • NPI 1992135156
  NPD (past)

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

{
    "created_epoch": "1327017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662768000000",
    "number": "1639440761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "264 PASEO REYES DR",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320958462",
            "telephone_number": "904-610-6276",
            "fax_number": "904-512-0474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "264 PASEO REYES DR",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320958462",
            "telephone_number": "904-610-0299",
            "fax_number": "904-512-0474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPITANO",
        "first_name": "SUSAN",
        "middle_name": "PATRICIA",
        "name_prefix": "Mrs.",
        "credential": "MS, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-20",
        "last_updated": "2022-09-10",
        "certification_date": "2022-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH5716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aubrey Cannata
• Jennifer Cannon, BSHS, LMT
• Amanda M Capel, R.N., B.S.N.
• Marla Ruth Capes, APRN
• Colleen Anne Capezzuto, LICENSED SCHOOL PSY
• Alexis Rae Capria
• Richard A Caputo, M.D.
• Ernesto J. Carames, M.D.
• Carol Mehlberg Carberry, BA
• David Michael Carbonara, PT

• Mental Health Counselor in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.