Jacob Douville

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6851119347 Issued in MI

Practice address

10299 Grand River Rd
Brighton, MI 48116-6541

Phone

(517) 231-2836

NPI assigned

Oct 10, 2025

Sex

Male

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

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Highfields

  • Community/Behavioral Health Agency
  • Jackson, MI
  • NPI 1720123706
  NPD (past)
• Highfields Inc

  • Community/Behavioral Health Agency
  • Lansing, MI
  • NPI 1194191882
  NPD (past)

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

{
    "created_epoch": "1760054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760054400000",
    "number": "1134094881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4305 S CEDAR ST",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489105461",
            "telephone_number": "517-887-2762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10299 GRAND RIVER RD",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481166541",
            "telephone_number": "517-231-2836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUVILLE",
        "first_name": "JACOB",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-10-10",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6851119347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Russell Doney, DDS
• Jordan Eve Donovan, PHARMD
• Angela Dorais
• Angela Marie Dorr
• Byron C. Douglas, PHD
• James E Dowd, MD
• Christopher Down, NASM, ACSM
• Hillary Lynn Down, LMT
• Downriver Mental Health Clinic
• Downriver Mental Health Clinic PC

• Clinical Social Worker in Brighton, MI
• Providers in Brighton, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2025; 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.