Active NPI
Jonna Marie Capio LMHC LLC
- Counselor
- Bloomington, IN
National Provider Identifier
1740789635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 39002467A
- Legal business name
- JONNA MARIE CAPIO LMHC LLC
- Practice address
- 3925 E Hagan St Ste 307
Bloomington, IN 47401-8649 - Phone
- (812) 331-7773
- NPI assigned
- Feb 6, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jonna M Capio, LMHC
- Title
- Tin Owner
- Phone
- (812) 331-7773
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 39002467A | IN | Primary |
| Mental Health Counselor | 101YM0800X | 39002467A | IN |
Addresses
Primary practice location
3925 E Hagan St Ste 307
Bloomington, IN 47401-8649
Mailing address
4972 E Heritage Woods Rd
Bloomington, IN 47401-9175
Phone (812) 331-7773
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3925 E Hagan St
Ste 307
Bloomington, IN 47401
Phone (206) 853-5423
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Bloomington, IN
- NPI 1629383617
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517875200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1517875200000",
"number": "1740789635",
"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"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3925 E HAGAN ST STE 307",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474018649",
"telephone_number": "812-331-7773"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JONNA MARIE CAPIO LMHC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-02-06",
"last_updated": "2018-02-06",
"status": "A",
"authorized_official_last_name": "CAPIO",
"authorized_official_first_name": "JONNA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "TIN OWNER",
"authorized_official_telephone_number": "812-331-7773",
"authorized_official_credential": "LMHC"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor",
"state": "IN",
"license": "39002467A",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "IN",
"license": "39002467A",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bloomington, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.