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

Tracee Louise Jackson, LPC

Individual provider Mental Health Counselor · NPI 1144573338

Tracee Louise Jackson, LPC is a Mental Health Counselor in Saint Clair Shores, Michigan. Qualified in 2009, 17 years ago. Practices as a sole proprietor. Licensed in Michigan.

Years since qualifying
17
Licensed in
MI
In the registry since
2012
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

22901 W Industrial Dr Ste 105
Saint Clair Shores, MI 48080-1130
Phone: (313) 980-1254
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 6401011830 (MI)

Record details

NPI number1144573338
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorYes
NPI enumeratedOctober 25, 2012
Last updated in NPPESJune 25, 2025
Certification dateJune 25, 2025
Mailing address482 Allard Ave, Grosse Pointe Farms, MI 48236-2812

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Accepts Medicare assignment Not indicated

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