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

Jacob Kenneth Tracy, LPC, NCC

Individual provider Professional Counselor · NPI 1720585037

Jacob Kenneth Tracy, LPC, NCC is a Professional Counselor in Petoskey, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2018
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.
NCC — National Certified Counselor
A counsellor certified by the NBCC.

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Practice location Address checks out

410 E Lake St Ste 100
Petoskey, MI 49770
Phone: (616) 889-4104
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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 6401015019 (MI)

Record details

NPI number1720585037
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC , NCC
Sole proprietorYes
NPI enumeratedApril 12, 2018
Last updated in NPPESApril 12, 2018

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