Active NPI
Patrick Marcoux
- Mental Health Counselor
- Clarkston, MI
National Provider Identifier
1457978322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- PATRICK MARCOUX
- Doing business as
- The Joyful Therapist
- Practice address
- 39 S Main St Ste 2
Clarkston, MI 48346-1590 - Phone
- (269) 830-3791
- Fax
- (844) 538-1691
- NPI assigned
- Jun 26, 2020
- Organization subpart
- Yes
- Parent organization
- THE JOYFUL THERAPIST
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Patrick C Marcoux, LPC
- Title
- Licensed Professional Counselor
- Phone
- (215) 543-4221
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary | ||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X |
Addresses
Primary practice location
39 S Main St Ste 2
Clarkston, MI 48346-1590
Mailing address
39 S Main St Ste 2
Clarkston, MI 48346-1590
Phone (215) 543-4221
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457978322 | Medicaid | MI | |
| 1144761172 | Medicaid | MI |
Other names 1
- The Joyful Therapist
National Provider Directory
National Provider DirectoryLocations
39 S Main St
Ste 2
Clarkston, MI 48346
Phone (215) 543-4221
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Clarkston, MI
- NPI 1144761172
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593129600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1620777600000",
"number": "1457978322",
"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": "39 S MAIN ST STE 2",
"city": "CLARKSTON",
"state": "MI",
"postal_code": "483461590",
"telephone_number": "269-830-3791",
"fax_number": "844-538-1691"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PATRICK MARCOUX",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "THE JOYFUL THERAPIST",
"enumeration_date": "2020-06-26",
"last_updated": "2021-05-12",
"certification_date": "2021-05-08",
"status": "A",
"authorized_official_last_name": "MARCOUX",
"authorized_official_first_name": "PATRICK",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
"authorized_official_telephone_number": "215-543-4221",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1457978322",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1144761172",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "The Joyful Therapist",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Clarkston, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.