Individual provider Active NPI

Pamela Cappetta, ED.D.

  • Mental Health Counselor
  • Williamsburg, VA
National Provider Identifier
1912960204
Registry record updated Jun 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0701001146 Issued in VA
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

Updated by the provider on Jun 5, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
254578000OtherVAMAGELLAN
072799OtherVAANTHEM BLUE CROSS BLUE SH

Other names 1

  • Pamela Boll Former 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 Dec 30, 2024 through Dec 30, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0701001146VAMDMental Health Counselor
070100146VAMDProfessional Counselor
0717000489VAMDMarriage & 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

Verify at the official NPI Registry.