Organization Active NPI

Patrick Marcoux

  • Mental Health Counselor
  • Clarkston, MI
National Provider Identifier
1457978322
Registry record updated May 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
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 THERAPISTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 12, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Patrick C Marcoux, LPCNPI 1144761172
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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1457978322MedicaidMI
1144761172MedicaidMI

Other names 1

  • The Joyful Therapist Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.