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JACOB PETRIMOULX
NPI 1851751705
Counselor - Mental Health in Clinton Township, MI

Active since March 03, 2016
44899 CENTRE CT STE 101, CLINTON TOWNSHIP, MI 48038(586) 690-8331 Get Directions Write a Review

NPPES record last updated: March 14, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 14, 2023, Mar 8, 2023, Mar 3, 2016 (3 updates tracked since 2016).

About Jacob Petrimoulx NPPES

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

JACOB PETRIMOULX (NPI 1851751705) is an individual mental health provider in Clinton Township, Michigan, licensed in Michigan (6451022247) and active in the NPI registry since March 2016.

NPPES Registry Identity

NPI1851751705
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJACOB PETRIMOULX
Location Address44899 CENTRE CT STE 101Clinton Township, MI 48038-5510
Mailing Address11837 Danforth DrSterling Heights, MI 48312-2128 · (586) 978-2265
Phone(586) 690-8331
Sole ProprietorNo
Enumeration DateMarch 3, 2016
Last NPPES UpdateMarch 14, 20233 updates tracked since enumeration
NPPES CertifiedMarch 14, 2023
✔ NPI 1851751705 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in MI · 6451022247
44899 CENTRE CT STE 101, Clinton Township, MI 48038
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Other Providers at the Same Location NPPES 2

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

ERIC MILLER I BS
Case Manager/Care Coordinator
44899 CENTRE CT STE 101
CLINTON TOWNSHIP, MI 48038
Macomb County (586) 792-1656
CHANEL GEORGETTE JOHNSON LPC
Counselor
44899 CENTRE CT STE 101
CLINTON TOWNSHIP, MI 48038
Macomb County (586) 792-1654

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 Jacob Petrimoulx's NPI number?

The NPI number for Jacob Petrimoulx is 1851751705. It was assigned to this individual provider in the NPPES registry on March 3, 2016.

Where is Jacob Petrimoulx located?

Jacob Petrimoulx practices at 44899 Centre Ct Ste 101, Clinton Township, MI 48038. The listed phone number is (586) 690-8331.

What is Jacob Petrimoulx's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Jacob Petrimoulx was last updated on March 14, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.