Bracey Darchael Glotzhober, LLPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6451024054 Issued in MI

Practice address

525 W 14TH St Unit D
Traverse City, MI 49684-4061

Phone

(231) 714-0282

NPI assigned

Jan 31, 2025

Last updated

Jan 31, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1738281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738281600000",
    "number": "1659184760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4176 CIRCLE VIEW DR",
            "city": "WILLIAMSBURG",
            "state": "MI",
            "postal_code": "496909334",
            "telephone_number": "231-675-4776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 W 14TH ST UNIT D",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496844061",
            "telephone_number": "231-714-0282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLOTZHOBER",
        "first_name": "BRACEY",
        "middle_name": "DARCHAEL",
        "credential": "LLPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-31",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6451024054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gillian Suzanne Gines
• Kelly Gingras, NURSE PRACTITIONER
• Ramsi Anne Ginzel
• Douglas Adam Glick, LMSW
• Cynthia L Glines, M.D.
• David Neil Gloudemans
• Jessica Marie Glowacki
• Sherry Gobaleza
• Lydia Michelle Reva Goddard
• Michael Goddard

• Mental Health Counselor in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.