Phillip Gerard Lacourse, M.A.,L.L.P.

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

6301007404 Issued in MI

Practice address

8150 E 13 Mile Rd Ste 100
Warren, MI 48093-8711

Phone

(586) 558-7472

NPI assigned

May 8, 2009

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

Credentials

Master of Arts

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.

• Old Town Psychological Services

  • Clinical Psychologist
  • Traverse City, MI
  • NPI 1093989162
  NPD (past)

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

{
    "created_epoch": "1241740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241740800000",
    "number": "1588898282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8150 E 13 MILE RD STE 100",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480938711",
            "telephone_number": "586-558-7472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8150 E 13 MILE RD STE 100",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480938711",
            "telephone_number": "586-558-7472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACOURSE",
        "first_name": "PHILLIP",
        "middle_name": "GERARD",
        "name_prefix": "Mr.",
        "credential": "M.A.,L.L.P.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-05-08",
        "last_updated": "2009-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "6301007404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arthur J Labelle
• Ashley Labrana, LLMSW
• Richard K Laburn, DDS
• Linda Rose Lackowski, MSN, FNP-C
• Robert Lacoste
• Vicki Lacoursier
• Stephen M Laduke, LLMSW
• Emi Laho
• Morgan Laird
• Laith Nafil MD PLLC

• Addiction (Substance Use Disorder) Counselor in Warren, MI
• Providers in Warren, MI by specialty
• Addiction (Substance Use Disorder) Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2009; 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.