TRACEE LOUISE JACKSON LPC
NPI 1144573338
Counselor - Mental Health in Saint Clair Shores, MI
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
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Tracee Louise Jackson Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Tracee Jackson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Saint Clair Shores, MI 48080
- Reassigned Medicare billing, Michigan enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Which organization bills Medicare for Tracee Jackson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tracee Jackson reassigns Medicare benefits to Endless Possibilities Counseling Clinic LLC (Saint Clair Shores, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tracee Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tracee Jackson accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.
# Tracee Louise Jackson, LPC · NPI 1144573338
Mental Health provider in Saint Clair Shores, Michigan. Individual provider, active in the CMS NPPES registry since October 25, 2012.
## Identity
- **NPI:** 1144573338 (Entity type: Individual)
- **Enumerated:** October 25, 2012
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 6401011830 (Michigan)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 22901 W INDUSTRIAL DR STE 105, Saint Clair Shores, MI 48080-1130
- **Phone:** (313) 980-1254
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Endless Possibilities Counseling Clinic LLC (NPI 1063281418, Saint Clair Shores, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2009
## Record status
- **NPPES last updated:** June 25, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1144573338) · Data from the CMS NPPES public registry.