Elizabeth Joanne Van Portfliet, LPC, NCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401224078 Issued in MI

Practice address

30 Jefferson Ave SE
Grand Rapids, MI 49503-4304

Phone

(616) 303-1313

NPI assigned

Oct 6, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 3, 2025 through Jan 3, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cappon Consulting LLC

  • Professional Counselor
  • Grand Rapids, MI
  • NPI 1457962078
  NPD

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

{
    "created_epoch": "1696550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728864000000",
    "number": "1255112256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 EASTHILL DR NE",
            "city": "COMSTOCK PARK",
            "state": "MI",
            "postal_code": "493219509",
            "telephone_number": "616-337-8190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 JEFFERSON AVE SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495034304",
            "telephone_number": "616-303-1313"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "745 Easthill Dr NE",
            "address_purpose": "LOCATION",
            "city": "Comstock Park",
            "state": "MI",
            "postal_code": "493219509",
            "country_code": "US",
            "telephone_number": "616-337-8190",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAN PORTFLIET",
        "first_name": "ELIZABETH",
        "middle_name": "JOANNE",
        "name_prefix": "Mrs.",
        "credential": "LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-06",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401224078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Van Oeveren
• Courtney Ann Van Os, OTR/L
• Faith Van Oss, NP
• Katherine Rachel Van Oss, MD
• Andrea Emma Van Pelt, M.D.
• Jake G Van Schaik
• Laurina Van Sloten
• Michele L Van Soelen, NP
• Catherine Marie Van Til, L.AC
• Jason C Van Veen

• Professional Counselor in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2024; 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.

Verify at the official NPI Registry.