Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Gerald Micketti, LLPC

Individual provider Professional Counselor · NPI 1649660226

Gerald Micketti, LLPC is a Mental Health Counselor in Traverse City, Michigan. Qualified in 2010, 16 years ago. Practices with Old Town Psychological Services, an 8-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
16
Licensed in
MI
In the registry since
2015
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Practice location Address checks out

1200 W 11th St Ste 111
Traverse City, MI 49684-3288
Phone: (231) 499-8290
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 6401012457 (MI)

Record details

NPI number1649660226
Entity typeIndividual (Type 1)
GenderMale
Credentials LLPC
Sole proprietorYes
NPI enumeratedFebruary 3, 2015
Last updated in NPPESFebruary 23, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Old Town Psychological Services — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Traverse City