ADAM J PETTY LAC
NPI 1003332578
Counselor - Mental Health in Phoenix, AZ

Active since August 16, 2017
1825 E NORTHERN AVE STE 215, PHOENIX, AZ 85020(480) 360-5484 Get Directions Write a Review

NPPES record last updated: August 16, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Adam J Petty Lac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ADAM J PETTY LAC (NPI 1003332578) is an individual mental health provider in Phoenix, Arizona, licensed in Arizona (LAC-16151) and active in the NPI registry since August 2017.

NPPES Registry Identity

NPI1003332578
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameADAM J PETTYCredential: LAC
Location Address1825 E NORTHERN AVE STE 215Phoenix, AZ 85020-3940
Mailing Address2618 E Geneva DrTempe, AZ 85282-4152 · (480) 382-3124
Sole ProprietorNo
Enumeration DateAugust 16, 2017
NPI 1003332578 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in AZ · LAC-16151
1825 E NORTHERN AVE STE 215, Phoenix, AZ 85020

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Marriage & Family Therapist
1825 E NORTHERN AVE STE 215
PHOENIX, AZ 85020

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Adam Petty's NPI number?

The NPI number for Adam Petty is 1003332578. It was assigned to this individual provider in the NPPES registry on August 16, 2017.

Where is Adam Petty located?

Adam Petty practices at 1825 E Northern Ave Ste 215, Phoenix, AZ 85020. The listed phone number is (480) 360-5484.

What is Adam Petty's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Adam Petty was last updated on August 16, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.