Gerald Micketti, LLPC
NPI 1649660226ActiveIndividual· Counselor, Professional· Traverse City, MI
Counselor, Professional (LLPC) with Old Town Psychological Services, practicing in Traverse City, Michigan. Medicare paid $3,087 for services to 12 patients in 2024.
Overview
| NPI | 1649660226 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LLPC |
| Sole proprietor | Yes |
| NPI issued | Feb 3, 2015 |
| Last updated in NPPES | Feb 23, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | 6401012457 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Mental Health Counselor (MI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 12 |
|---|---|
| Services billed | 63 across 3 procedure codes |
| Paid by Medicare | $3,087 |
Education and affiliations
| Graduation year | 2010 |
|---|---|
| Medicare specialty | Mental Health Counselor |
Medical group
- Old Town Psychological ServicesTraverse City, MI · 8 clinicians
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