Individual provider Active NPI

Grace Caputo, LPC

  • Mental Health Counselor
  • Freehold, NJ
National Provider Identifier
1730898727
Registry record updated Jan 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
37PC00913300 Issued in NJ
Practice address
2 Paragon Way Ste 800
Freehold, NJ 07728-9573
Phone
(732) 393-8391
Fax
(732) 308-4500
NPI assigned
Nov 17, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 37LC00361400 NJ
Mental Health Counselor 101YM0800X 37AC00554300 NJ
Mental Health Counselor 101YM0800X 37PC00913300 NJ Primary

Addresses

Primary practice location

2 Paragon Way Ste 800
Freehold, NJ 07728-9573

Mailing address

2 Paragon Way Ste 800
Freehold, NJ 07728-9573
Phone (732) 393-8391

Other names 1

  • Grace Cassidy Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.treeoflifecc.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
37LC00361400NJMDAddiction (Substance Use Disorder) Counselor
37AC00554300NJMDMental Health Counselor
37PC00913300NJMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Tree of Life Counseling Center, LLC Mental Health CurrentSince Nov 20, 2022 Accepting new patients

Locations

2 Paragon Way
Ste 800
Freehold, NJ 07728
Phone (732) 393-8391

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1668643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674432000000",
    "number": "1730898727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 PARAGON WAY STE 800",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077289573",
            "telephone_number": "732-393-8391",
            "fax_number": "732-308-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 PARAGON WAY STE 800",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077289573",
            "telephone_number": "732-393-8391",
            "fax_number": "732-308-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPUTO",
        "first_name": "GRACE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-17",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00361400",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37AC00554300",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37PC00913300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.treeoflifecc.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2 Paragon Way Ste 800",
            "city": "Freehold",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "077289573",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "GRACE",
            "last_name": "CASSIDY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Freehold, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.