Individual provider Active NPI

Merry Capozzolo, MS

  • Mental Health Counselor
  • Bellingham, WA
National Provider Identifier
1770193799
Registry record updated Dec 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MC61191565 Issued in WA
Practice address
1319 Cornwall Ave Ste 200
Bellingham, WA 98225-4733
Phone
(360) 300-2123
NPI assigned
Aug 4, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2025

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 MC61191565 WA Primary

Addresses

Primary practice location

1319 Cornwall Ave Ste 200
Bellingham, WA 98225-4733

Mailing address

2525 Valencia St
Bellingham, WA 98226-3735
Phone (610) 704-6029

Other names 1

  • Mary Capozzolo Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Oct 16, 2025 through Oct 16, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
MC61191565WAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1596499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766966400000",
    "number": "1770193799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 VALENCIA ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982263735",
            "telephone_number": "610-704-6029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1319 CORNWALL AVE STE 200",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982254733",
            "telephone_number": "360-300-2123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPOZZOLO",
        "first_name": "MERRY",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-04",
        "last_updated": "2025-12-29",
        "certification_date": "2025-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC61191565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "CAPOZZOLO",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Bellingham, WA

Sources for this page

Verify at the official NPI Registry.