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

Jacquie R. Thomas

Individual provider Professional Counselor · NPI 1093257677

Jacquie R. Thomas is a Mental Health Counselor in Traverse City, Michigan. Qualified in 2014, 12 years ago. Licensed in Michigan.

Years since qualifying
12
Licensed in
MI
In the registry since
2016

Practice location Address checks out

415 Cass St Suites 2A & 2D
Traverse City, MI 49684-2589
Phone: (231) 346-5216
Fax: (231) 943-2590
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 6401014581 (MI)

Record details

NPI number1093257677
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 14, 2016
Last updated in NPPESNovember 14, 2016
Mailing address415 Cass St, Suites 2a & 2d, Traverse City, MI 49684-2589

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Accepts Medicare assignment Not indicated

Other providers in Traverse City