PETER J CAPPON LPC
NPI 1982199717
Counselor - Professional in Grand Rapids, MI

Active since June 25, 2018Opted out of Medicare · through Jan 28, 2027
30 JEFFERSON AVE SE, GRAND RAPIDS, MI 49503(616) 303-1313 Get Directions Write a Review

NPPES record last updated: October 11, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 11, 2024, Jun 25, 2021, Aug 14, 2020 and 1 more (4 updates tracked since 2018).

About Peter J Cappon Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PETER J CAPPON LPC (NPI 1982199717) is an individual professional provider in Grand Rapids, Michigan, licensed in Michigan (6401018523) and active in the NPI registry since June 2018. He has opted out of Medicare through January 28, 2027 and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1982199717
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NamePETER J CAPPONCredential: LPC
Location Address30 JEFFERSON AVE SEGrand Rapids, MI 49503-4304
Mailing Address3413 Tomahawk Dr SwGrandville, MI 49418-1961 · (616) 202-8240
Sole ProprietorNo
Enumeration DateJune 25, 2018
Last NPPES UpdateOctober 11, 20244 updates tracked since enumeration
NPPES CertifiedOctober 11, 2024
NPI 1982199717 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses Licensed in MI · 6401018523 Licensed in MI · 6401016700
30 JEFFERSON AVE SE, Grand Rapids, MI 49503

Secondary Practice Locations 3

Location 1741 Kenmoor Ave SE Ste BGrand Rapids, MI 49546-2304 · Phone (616) 202-8240
Location 21344 Mayfield Ave NEGrand Rapids, MI 49505-5525 · Phone (616) 202-8240
Location 33413 Tomahawk Dr SWGrandville, MI 49418-1961 · Phone (616) 202-8240

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Peter J Cappon Lpc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 28, 2025 through January 28, 2027.

Opt-Out Effective DateJanuary 28, 2025
Opt-Out In Effect ThroughJanuary 28, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Addiction (Substance Use Disorder))
30 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Counselor (Professional)
30 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Counselor (Professional)
30 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Counselor (Professional)
30 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Counselor (Professional)
30 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Counselor (Professional)
30 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Social Worker (Clinical)
30 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Peter Cappon's NPI number?

The NPI number for Peter Cappon is 1982199717. It was assigned to this individual provider in the NPPES registry on June 25, 2018.

Where is Peter Cappon located?

Peter Cappon practices at 30 Jefferson Ave SE, Grand Rapids, MI 49503. The listed phone number is (616) 303-1313.

What is Peter Cappon's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Peter Cappon enrolled in Medicare?

No. Peter Cappon has opted out of Medicare through January 28, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Peter Cappon accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Peter Cappon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Peter Cappon was last updated on October 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.