1. Home
  2. Directory
  3. Michigan
  4. Richmond
  5. Peer Specialist
  6. NPI Profile

JEREMY GARNET MACNICOL
NPI 1063258416
Peer Specialist in Richmond, MI

Active since July 05, 2024
400 STODDARD RD, RICHMOND, MI 48062(810) 392-2167 Get Directions Write a Review

NPPES record last updated: July 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jeremy Garnet Macnicol NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEREMY GARNET MACNICOL (NPI 1063258416) is an individual peer specialist in Richmond, Michigan and active in the NPI registry since July 2024.

NPPES Registry Identity

NPI1063258416
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameJEREMY GARNET MACNICOL
Location Address400 STODDARD RDRichmond, MI 48062-2505
Mailing Address8609 Rattle Run RdColumbus, MI 48063-1908 · (313) 974-2703
Phone(810) 392-2167
Sole ProprietorNo
Enumeration DateJuly 5, 2024
NPPES CertifiedJuly 5, 2024
✔ NPI 1063258416 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
400 STODDARD RD, Richmond, MI 48062
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JACOB PATTENAUDE
Social Worker (Clinical)
400 STODDARD RD
RICHMOND, MI 48062
Macomb County (810) 392-2167
KATIANNE ROSE MURPHY
Counselor (Addiction (Substance Use Disorder))
400 STODDARD RD
RICHMOND, MI 48062
Macomb County (810) 392-2167
AUTUMN LYNCH
Counselor (Addiction (Substance Use Disorder))
400 STODDARD RD
RICHMOND, MI 48062
Macomb County (810) 392-2167
KAY I JOHNSON
Licensed Practical Nurse
400 STODDARD RD
RICHMOND, MI 48062
Macomb County (810) 392-2167
CORTEZ CODY GILES
Peer Specialist
400 STODDARD RD
RICHMOND, MI 48062
Macomb County (810) 392-2167
JUSTIN JACOBSON
Peer Specialist
400 STODDARD RD
RICHMOND, MI 48062
Macomb County (810) 392-2167
MR. DOMINIC DEWAYNE SMITH
Peer Specialist
400 STODDARD RD
RICHMOND, MI 48062
Macomb County (810) 392-2167
KIRSTEN HEIMBACH
Counselor (Addiction (Substance Use Disorder))
400 STODDARD RD
RICHMOND, MI 48062
Macomb County (810) 392-2167

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeremy Macnicol's NPI number?

The NPI number for Jeremy Macnicol is 1063258416. It was assigned to this individual provider in the NPPES registry on July 5, 2024.

Where is Jeremy Macnicol located?

Jeremy Macnicol practices at 400 Stoddard Rd, Richmond, MI 48062. The listed phone number is (810) 392-2167.

What is Jeremy Macnicol's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Jeremy Macnicol was last updated on July 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.