Active NPI
Tania Maria Capparelli, LMFT
- Marriage & Family Therapist
- Smyrna, GA
National Provider Identifier
1689964660
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFT001164
- Practice address
- 721 Park Manor Dr SE
Smyrna, GA 30082-2821 - Phone
- (770) 557-5582
- Fax
- (770) 450-8565
- NPI assigned
- Apr 12, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFT001164 | GA | Primary |
Addresses
Primary practice location
721 Park Manor Dr SE
Smyrna, GA 30082-2821
Mailing address
721 Park Manor Dr SE
Smyrna, GA 30082-2821
Phone (770) 557-5582
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 866577945A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFT001164 | GA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487203200000",
"number": "1689964660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "721 PARK MANOR DR SE",
"city": "SMYRNA",
"state": "GA",
"postal_code": "300822821",
"telephone_number": "770-557-5582",
"fax_number": "770-450-8565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "721 PARK MANOR DR SE",
"city": "SMYRNA",
"state": "GA",
"postal_code": "300822821",
"telephone_number": "770-557-5582",
"fax_number": "770-450-8565"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAPPARELLI",
"first_name": "TANIA",
"middle_name": "MARIA",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-04-12",
"last_updated": "2017-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "GA",
"license": "MFT001164",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "866577945A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Smyrna, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.