GERALD MICKETTI LLPC
NPI 1649660226
Counselor - Professional in Traverse City, MI

Active since February 03, 2015PECOS EnrolledAccepts Medicare Assignment
1200 W. 11TH STREET, SUITE 111, TRAVERSE CITY, MI 49684(231) 499-8290 Get Directions Write a Review

NPPES record last updated: February 23, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Gerald Micketti Llpc NPPES

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

GERALD MICKETTI LLPC (NPI 1649660226) is an individual professional provider in Traverse City, Michigan, licensed in Michigan (6401012457) and active in the NPI registry since February 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1649660226
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameGERALD MICKETTICredential: LLPC
Location Address1200 W. 11TH STREET, SUITE 111Traverse City, MI 49684-3288
Mailing Address1200 W 11th St Ste 111Traverse City, MI 49684-3288 · (231) 499-8290
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateFebruary 3, 2015
Last NPPES UpdateFebruary 23, 2015
✔ NPI 1649660226 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MI · 6401012457
1200 W. 11TH STREET, Traverse City, MI 49684

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Gerald Micketti Llpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3375988777
PECOS Enrollment IDI20240226000630
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.

Medicare Billing Reassignment

Medicare enrollment records show Gerald Micketti reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinical
512 S UNION ST
Traverse City, MI 49684
  • Reassigned Medicare billing, Michigan enrollment
  • 11 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
12 services12 patients

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 Gerald Micketti's NPI number?

The NPI number for Gerald Micketti is 1649660226. It was assigned to this individual provider in the NPPES registry on February 3, 2015.

Where is Gerald Micketti located?

Gerald Micketti practices at 1200 W. 11th Street Suite 111, Traverse City, MI 49684. The listed phone number is (231) 499-8290.

What is Gerald Micketti's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Gerald Micketti enrolled in Medicare?

Yes. Gerald Micketti is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Gerald Micketti's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gerald Micketti reassigns Medicare benefits to Old Town Psychological Services (Traverse City, 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 Gerald Micketti's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gerald Micketti accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company and UnitedHealthcare list Gerald Micketti 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 Gerald Micketti was last updated on February 23, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.