Active NPI
Pamela Cappetta, ED.D.
- Mental Health Counselor
- Williamsburg, VA
National Provider Identifier
1912960204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 0701001146
- Practice address
- 491 McLaws Cir Ste 3a
Williamsburg, VA 23185-6342 - Phone
- (757) 253-5708
- Fax
- (757) 253-6535
- NPI assigned
- Apr 8, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Professional Counselor | 101YP2500X | 070100146 | VA | |
| Marriage & Family Therapist | 106H00000X | 0717000489 | VA | |
| Mental Health Counselor | 101YM0800X | 0701001146 | VA | Primary |
Addresses
Primary practice location
491 McLaws Cir Ste 3a
Williamsburg, VA 23185-6342
Mailing address
491 McLaws Cir Ste 3a
Williamsburg, VA 23185-6342
Phone (757) 253-5708
Other practice location 1
362 McLaws Cir
Suite 2
Williamsburg, VA 23185-5648
Phone (757) 253-5708
Other practice location 2
491 McLaws Cir Ste 3A
Williamsburg, VA 23185-6342
Phone (757) 253-5708
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 254578000 | Other | VA | MAGELLAN |
| 072799 | Other | VA | ANTHEM BLUE CROSS BLUE SH |
Other names 1
- Pamela Boll
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Dec 30, 2024 through Dec 30, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0701001146 | VA | MD | Mental Health Counselor |
| 070100146 | VA | MD | Professional Counselor |
| 0717000489 | VA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749081600000",
"number": "1912960204",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "491 MCLAWS CIR STE 3A",
"city": "WILLIAMSBURG",
"state": "VA",
"postal_code": "231856342",
"telephone_number": "757-253-5708",
"fax_number": "757-253-6535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "491 MCLAWS CIR STE 3A",
"city": "WILLIAMSBURG",
"state": "VA",
"postal_code": "231856342",
"telephone_number": "757-253-5708",
"fax_number": "757-253-6535"
}
],
"practiceLocations": [
{
"address_1": "362 McLaws Cir",
"address_2": "Suite 2",
"address_purpose": "LOCATION",
"city": "Williamsburg",
"state": "VA",
"postal_code": "231855648",
"country_code": "US",
"telephone_number": "757-253-5708",
"fax_number": "757-253-6535",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "491 McLaws Cir Ste 3A",
"address_purpose": "LOCATION",
"city": "Williamsburg",
"state": "VA",
"postal_code": "231856342",
"country_code": "US",
"telephone_number": "757-253-5708",
"fax_number": "757-253-6535",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CAPPETTA",
"first_name": "PAMELA",
"name_prefix": "Dr.",
"credential": "ED.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-08",
"last_updated": "2025-06-05",
"certification_date": "2025-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "070100146",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "VA",
"license": "0717000489",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "VA",
"license": "0701001146",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "254578000",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE CROSS BLUE SH",
"identifier": "072799",
"state": "VA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "PAMELA",
"last_name": "BOLL",
"credential": "LPC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Williamsburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2025; 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.