Active NPI 1982199717 Individual Practitioner Male Practitioner

Peter J Cappon , LPC

Counselor - Professional • Grand Rapids, MI

Professional Overview & Biography Verified Profile Summary

Peter Cappon, LPC is a registered healthcare professional specializing in Counselor - Professional in Grand Rapids, MI. Practice services are available at 30 JEFFERSON AVE SE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

30 Jefferson Ave Se

Grand Rapids, MI 495034304

Telephone 6163031313

Associated Practice Facility / Clinic

🏢 Cappon Consulting Llc Facility NPI 1457962078

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Grand Rapids, MI

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 16.2 Yrs

State Avg: 15.6 Yrs

Regional Practice Density

444 Specialists

Practicing in Grand Rapids, MI (5077 Statewide)

Telehealth Adoption Rate

1.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-10-11

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License MI 6401018523

Definition to come...

Counselor - Professional

NUCC Taxonomy Code: 101YP2500X

State License MI 6401016700

Definition to come...

Secondary Practice Locations

741 Kenmoor Ave Se Ste B

Grand Rapids, MI 495462304

Phone: 6162028240

1344 Mayfield Ave Ne

Grand Rapids, MI 495055525

Phone: 6162028240

3413 Tomahawk Dr Sw

Grandville, MI 494181961

Phone: 6162028240

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners

Jessica Cuellar

Counselor - Addiction (Substance Use Disorder)

NPI 1013754050

Christina Fong

Counselor - Professional

NPI 1073382560

Elizabeth Van Portfliet , LPC, NCC

Counselor - Professional

NPI 1255112256

Licensed Professional Counselor, National Certified Counselor

Keely Cruz

Counselor - Professional

NPI 1487272753

Brian Mulder , LPC

Counselor - Professional

NPI 1497536528

Licensed Professional Counselor

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events

📍

Updated Practice Location October 11, 2024

Registered at 30 JEFFERSON AVE SE, GRAND RAPIDS, MI 495034304 (Tel: 6163031313)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 11, 2024

Counselor (License #6401018523 in MI)

📍

Updated Practice Location June 25, 2021

Registered at 3413 TOMAHAWK DR SW, GRANDVILLE, MI 494181961 (Tel: 6162028240)

📍

Updated Business Mailing Address June 25, 2021

Registered at 3413 TOMAHAWK DR SW, GRANDVILLE, MI 494181961 (Tel: 6162028240)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 25, 2021

Counselor (License #6401016700 in MI)

👤

Provider Name / Credentials Updated August 14, 2020

Recorded as PETER CAPPON, LPC

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 14, 2020

Counselor (License #6401018523 in MI)

✅

NPI Profile Active June 25, 2018

NPI status registered as active in NPPES database

📍

Updated Practice Location June 25, 2018

Registered at 741 KENMOOR AVE SE STE B, GRAND RAPIDS, MI 495462304 (Tel: 6162028240)

📍

Updated Business Mailing Address June 25, 2018

Registered at 1344 MAYFIELD AVE NE, GRAND RAPIDS, MI 495055525 (Tel: 6162028240)

👤

Provider Name / Credentials Updated June 25, 2018

Recorded as PETER CAPPON, LLPC

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 25, 2018

Counselor (License #6401016700 in MI)

🟢

Initial NPI Registration & Enumeration June 25, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1982199717

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 25, 2018

Last Update: October 11, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

3413 Tomahawk Dr Sw

Grandville, MI 494181961

Phone: 6162028240

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.