JACOB KENNETH TRACY LPC, NCC
NPI 1720585037
Counselor - Professional in Petoskey, MI

Q: What is Jacob Tracy's NPI number?

The NPI number for Jacob Tracy is 1720585037. It was assigned to this individual provider in the NPPES registry on April 12, 2018.

Q: What is Jacob Tracy's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jacob Tracy was last updated on April 12, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since April 12, 2018

410 E LAKE STREET, SUITE 100, PETOSKEY, MI 49770(616) 889-4104 Get Directions Write a Review

NPPES record last updated: April 12, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jacob Kenneth Tracy Lpc, Ncc NPPES

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

JACOB KENNETH TRACY LPC, NCC (NPI 1720585037) is an individual professional provider in Petoskey, Michigan, licensed in Michigan (6401015019) and active in the NPI registry since April 2018.

NPPES Registry Identity

NPI1720585037

Entity TypeIndividualMale

Primary Taxonomy101YP2500X

Provider Legal NameJACOB KENNETH TRACYCredential: LPC, NCC

Location Address410 E LAKE STREET, SUITE 100Petoskey, MI 49770

Mailing Address410 E Lake Street, Suite 100Petoskey, MI 49770 · (616) 889-4104

Phone(616) 889-4104

Sole ProprietorYes

Enumeration DateApril 12, 2018

✔ NPI 1720585037 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 · 6401015019

410 E LAKE STREET, Petoskey, MI 49770

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Accepted Insurance

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

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 Tracy's NPI number?

The NPI number for Jacob Tracy is 1720585037. It was assigned to this individual provider in the NPPES registry on April 12, 2018.

Where is Jacob Tracy located?

Jacob Tracy practices at 410 E Lake Street Suite 100, Petoskey, MI 49770. The listed phone number is (616) 889-4104.

What is Jacob Tracy's specialty?

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

What insurance does Jacob Tracy accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Jacob Tracy 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 Jacob Tracy was last updated on April 12, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.