Individual provider Active NPI

Gejia A Capasso, LPC

  • Professional Counselor
  • Phoenix, AZ
National Provider Identifier
1700071453
Registry record updated Sep 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC10951 Issued in AZ
Practice address
715 E Montecito Ave
Phoenix, AZ 85014-4322
Phone
(602) 707-2500
Fax
(602) 707-2540
NPI assigned
Sep 6, 2007
Last updated
Sep 6, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC10951 AZ Primary

Addresses

Primary practice location

715 E Montecito Ave
Phoenix, AZ 85014-4322

Mailing address

1226 W Osborn Rd
Phoenix, AZ 85013-3618
Phone (602) 707-2500

Other identifiers 1

IdentifierTypeStateIssuer
830902MedicaidAZ

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

LicenseStateTypeSpecialty
LPC10951AZMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Osborn School District Past 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1189036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189036800000",
    "number": "1700071453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1226 W OSBORN RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850133618",
            "telephone_number": "602-707-2500",
            "fax_number": "202-707-2540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 E MONTECITO AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850144322",
            "telephone_number": "602-707-2500",
            "fax_number": "602-707-2540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPASSO",
        "first_name": "GEJIA",
        "middle_name": "A",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-06",
        "last_updated": "2007-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC10951",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "830902",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.