DR. JAMIE RAY PETTIT ED.D LPC - MHSP
NPI 1003371667
Counselor - Professional in Memphis, TN

Q: What is Jamie Pettit's NPI number?

The NPI number for Jamie Pettit is 1003371667. It was assigned to this individual provider in the NPPES registry on February 7, 2019.

Q: What is Jamie Pettit's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Jamie Pettit was last updated on February 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 07, 2019PECOS EnrolledAccepts Medicare Assignment

6401 POPLAR AVE STE 500, MEMPHIS, TN 38119(901) 746-9438(901) 410-4536 Get Directions Write a Review

NPPES record last updated: February 12, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 13, 2025, May 12, 2025, Mar 20, 2020 and 1 more (4 updates tracked since 2019).

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About Dr. Jamie Ray Pettit Ed.d Lpc - Mhsp NPPES

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

DR. JAMIE RAY PETTIT ED.D LPC - MHSP (NPI 1003371667) is an individual professional provider in Memphis, Tennessee, licensed in Tennessee (2300) and active in the NPI registry since February 2019. He is enrolled in Medicare PECOS, maintains a secondary practice location in Bartlett, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1003371667

Entity TypeIndividualMale

Primary Taxonomy101YP2500X

Provider Legal NameDR. JAMIE RAY PETTITCredential: ED.D LPC - MHSP

Location Address6401 POPLAR AVE STE 500Memphis, TN 38119-4808

Mailing AddressPo Box 497Augusta, AR 72006-0497 · (870) 347-2534

Phone(901) 746-9438

Fax(901) 410-4536

Sole ProprietorYes

Medical School CMSOtherGraduated 2006

Enumeration DateFebruary 7, 2019

Last NPPES UpdateFebruary 12, 20264 updates tracked since enumeration

NPPES CertifiedFebruary 12, 2026

✔ NPI 1003371667 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in TN · 2300

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 2300 (TN)

6401 POPLAR AVE STE 500, Memphis, TN 38119

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Secondary Practice Location 1

Location 16630 Summer Knoll CirBartlett, TN 38134-2875 · Phone (901) 746-9438 · Fax (901) 746-9331

Other Identifiers 2

Other00002300TN · Lpc Number

MedicaidQ051103TN

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jamie Ray Pettit Ed.d Lpc - Mhsp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6002242245

PECOS Enrollment IDI20260526003873

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 8

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

JUSTIN GARRETT PRICE LMSW

Social Worker