Individual provider

Tracee Jackson, LPC

Mental Health Counselor Medicare enrolled

Tracee Jackson, LPC is a Mental Health Counselor in Saint Clair Shores, MI, registered under NPI 1144573338. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 22901 W INDUSTRIAL DR STE 105, Saint Clair Shores, MI 48080. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

22901 W INDUSTRIAL DR STE 105, Saint Clair Shores, MI 48080 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
6401011830 MI Mental Health Counselor primary

This provider holds licence 6401011830 issued in MI. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Mental Health Counselor
PAC ID
0042791360

Medicare enrolment is recorded as approved under the provider type Practitioner - Mental Health Counselor. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Mental Health covers

Definition to come... NUCC Health Care Provider Taxonomy, code 101YM0800X
Behavioral Health & Social Service Providers Counselor Mental Health

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1144573338 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateOct 25, 2012
Last updatedJun 25, 2025
StatusActive
Sole proprietorYes
CredentialLPC
Practice address 22901 W INDUSTRIAL DR STE 105
Saint Clair Shores, MI 48080
(313) 980-1254
Mailing address 482 ALLARD AVE
Grosse Pointe Farms, MI 48236
This record was updated on Jun 25, 2025, which is recent enough that the contact details are likely still accurate.

Number check

1144573338 passes the NPI check digit test The final digit 8 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 4 4 5 7 3 3 3
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 8 4 1 7 6 3 6

Sum = 62 · next multiple of 10 = 70 · check digit = 8 · actual last digit = 8

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1144573338?
NPI 1144573338 is the National Provider Identifier assigned to Tracee Jackson, LPC in Saint Clair Shores, MI. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Mental Health cover?
Definition to come...
How do I contact Tracee Jackson, LPC?
The phone number on file with NPPES is (313) 980-1254, last updated Jun 25, 2025. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Tracee Jackson, LPC accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1144573338 a valid number?
Yes. 1144573338 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.