Peter J Cappon, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401018523 Issued in MI

Practice address

30 Jefferson Ave SE
Grand Rapids, MI 49503-4304

Phone

(616) 303-1313

NPI assigned

Jun 25, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 28, 2025 through Jan 28, 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

  Professional

  NPD Authorized official

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

{
    "created_epoch": "1529884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728604800000",
    "number": "1982199717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3413 TOMAHAWK DR SW",
            "city": "GRANDVILLE",
            "state": "MI",
            "postal_code": "494181961",
            "telephone_number": "616-202-8240"
        },
        {
            "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": "741 Kenmoor Ave SE Ste B",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495462304",
            "country_code": "US",
            "telephone_number": "616-202-8240",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1344 Mayfield Ave NE",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495055525",
            "country_code": "US",
            "telephone_number": "616-202-8240",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3413 Tomahawk Dr SW",
            "address_purpose": "LOCATION",
            "city": "Grandville",
            "state": "MI",
            "postal_code": "494181961",
            "country_code": "US",
            "telephone_number": "616-202-8240",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAPPON",
        "first_name": "PETER",
        "middle_name": "J",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-25",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401018523",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401016700",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsay SW Capel, LMSW
• Paige J Capel, LMSW
• Diane Theresa Capen, PTA, CLT
• Michael Robert Capolino
• Cappon Consulting LLC
• April Marie Capps
• Anthony B Caprara
• Captive Beliefs Counseling Services PLLC
• Maria Carballo, RBT
• Alexandra Carberry, PHARMD

• All providers in Grand Rapids, MI
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.