Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 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 Not confirmed with CMS for 11 years — call before visiting
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

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients12
Services billed 63 a service is one billed item, such as a visit, a test or a procedure
Average patient age65

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Colleagues at Old Town Psychological Services

Clinicians the CMS Doctors & Clinicians file lists under the same group practice.

Other providers in Traverse City