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JESSICA LAURAINNE POULSEN LLPC
NPI 1184379232
Counselor in Centreville, MI

Active since February 17, 2022
677 E MAIN ST, CENTREVILLE, MI 49032(269) 467-1000 Get Directions Write a Review

NPPES record last updated: February 17, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jessica Laurainne Poulsen Llpc NPPES

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

JESSICA LAURAINNE POULSEN LLPC (NPI 1184379232) is an individual counselor in Centreville, Michigan, licensed in Michigan (6451019561) and active in the NPI registry since February 2022.

NPPES Registry Identity

NPI1184379232
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameJESSICA LAURAINNE POULSENCredential: LLPC
Location Address677 E MAIN STCentreville, MI 49032-8524
Mailing Address677 E Main StCentreville, MI 49032-8524 · (269) 467-1000
Phone(269) 467-1000
Sole ProprietorYes
Enumeration DateFebruary 17, 2022
NPPES CertifiedFebruary 17, 2022
✔ NPI 1184379232 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in MI · 6451019561
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
677 E MAIN ST, Centreville, MI 49032
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Other Names 1

Former Name (1)Jessica Laurainne Smith

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.

SHANNON BROCHEY
Community Health Worker
677 E MAIN ST
CENTREVILLE, MI 49032
St. Joseph County (269) 467-1001
SHELLY BIXLER-MARTIN
Social Worker (Clinical)
677 E MAIN ST
CENTREVILLE, MI 49032
St. Joseph County (269) 467-1001
GRAE MACKENZIE MILLER LLMSW,DP-C
Social Worker (Clinical)
677 E MAIN ST
CENTREVILLE, MI 49032
St. Joseph County (269) 467-1000
JANNA FIALA
Case Manager/Care Coordinator
677 E MAIN ST
CENTREVILLE, MI 49032
St. Joseph County (269) 467-1000
JULIE PARSONS LPN
Licensed Practical Nurse
677 E MAIN ST
CENTREVILLE, MI 49032
St. Joseph County (269) 467-1000
TRACEY COLE
Community Health Worker
677 E MAIN ST
CENTREVILLE, MI 49032
St. Joseph County (269) 467-1000
SKYLER FORD RN
Registered Nurse
677 E MAIN ST
CENTREVILLE, MI 49032
St. Joseph County (269) 816-3884
LORA LEE BATDORFF
Registered Nurse
677 E MAIN ST
CENTREVILLE, MI 49032
St. Joseph County (269) 467-1000

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 Jessica Poulsen's NPI number?

The NPI number for Jessica Poulsen is 1184379232. It was assigned to this individual provider in the NPPES registry on February 17, 2022. The provider is also known as Jessica Laurainne Smith.

Where is Jessica Poulsen located?

Jessica Poulsen practices at 677 E Main St, Centreville, MI 49032. The listed phone number is (269) 467-1000.

What is Jessica Poulsen's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Jessica Poulsen was last updated on February 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.