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TRACEE LOUISE JACKSON LPC
NPI 1144573338
Counselor - Mental Health in Saint Clair Shores, MI

Active since October 25, 2012PECOS Enrolled
22901 W INDUSTRIAL DR STE 105, SAINT CLAIR SHORES, MI 48080(313) 980-1254 Get Directions Write a Review

NPPES record last updated: June 25, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Tracee Louise Jackson Lpc NPPES

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

TRACEE LOUISE JACKSON LPC (NPI 1144573338) is an individual mental health provider in Saint Clair Shores, Michigan, licensed in Michigan (6401011830) and active in the NPI registry since October 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1144573338
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameTRACEE LOUISE JACKSONCredential: LPC
Location Address22901 W INDUSTRIAL DR STE 105Saint Clair Shores, MI 48080-1130
Mailing Address482 Allard AveGrosse Pointe Farms, MI 48236-2812 · (313) 980-1254
Phone(313) 980-1254
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateOctober 25, 2012
Last NPPES UpdateJune 25, 2025
NPPES CertifiedJune 25, 2025
✔ NPI 1144573338 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 · 6401011830
22901 W INDUSTRIAL DR STE 105, Saint Clair Shores, MI 48080
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tracee Louise Jackson Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID42791360
PECOS Enrollment IDI20260225002034
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Tracee Jackson's NPI number?

The NPI number for Tracee Jackson is 1144573338. It was assigned to this individual provider in the NPPES registry on October 25, 2012.

Where is Tracee Jackson located?

Tracee Jackson practices at 22901 W Industrial Dr Ste 105, Saint Clair Shores, MI 48080. The listed phone number is (313) 980-1254.

What is Tracee Jackson's specialty?

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

Is Tracee Jackson enrolled in Medicare?

Yes. Tracee Jackson is registered in the Medicare PECOS enrollment system.

What insurance does Tracee Jackson accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Tracee Jackson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tracee Jackson was last updated on June 25, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.