Patrick C.a Marcoux, MS, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6401015981 Issued in MI

Practice address

7640 Dixie Hwy Ste 155
Clarkston, MI 48346-2095

Phone

(248) 791-9266

Fax

(248) 392-2601

NPI assigned

Mar 9, 2017

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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.

• Patrick Marcoux

  • Mental Health Counselor
  • Clarkston, MI
  • NPI 1457978322
  NPD Authorized official

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

{
    "created_epoch": "1489017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727395200000",
    "number": "1144761172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 S MAIN ST STE 2",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483461590",
            "telephone_number": "215-543-4221",
            "fax_number": "844-538-1691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7640 DIXIE HWY STE 155",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483462095",
            "telephone_number": "248-791-9266",
            "fax_number": "248-392-2601"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "39 S Main St Ste 2",
            "address_purpose": "LOCATION",
            "city": "Clarkston",
            "state": "MI",
            "postal_code": "483461590",
            "country_code": "US",
            "telephone_number": "215-543-4221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARCOUX",
        "first_name": "PATRICK",
        "middle_name": "C.A",
        "credential": "MS, LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-09",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401015981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Clarkston, MI
• Providers in Clarkston, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.