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

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: October 25, 2026.

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

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Jamie Pettit reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Arcare
87 mi
Federally Qualified Health Center (FQHC)
117 S 2ND ST
Augusta, AR 72006
  • Reassigned Medicare billing, Tennessee enrollment
  • 7 clinicians in this Medicare group
NPI 1275635542 (870) 347-2534

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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
6401 POPLAR AVE STE 500
MEMPHIS, TN 38119
Shelby County (901) 472-4293
IAC ASSOCIATES PLLC
Counselor (Mental Health)
6401 POPLAR AVE STE 500
MEMPHIS, TN 38119
Shelby County (901) 746-9438
ARCARE
Clinic/Center (Federally Qualified Health Center (FQHC))
6401 POPLAR AVE STE 500
MEMPHIS, TN 38119
Shelby County (870) 347-3475
MRS. ALLISON MARIE STOCK FNP
Nurse Practitioner (Family)
6401 POPLAR AVE STE 500
MEMPHIS, TN 38119
Shelby County (901) 227-2360
DR. JOHN B WOODS M.D.
Internal Medicine (Addiction Medicine)
6401 POPLAR AVE STE 500
MEMPHIS, TN 38119
Shelby County (901) 866-8630
SOMA DUTTA MD
Internal Medicine
6401 POPLAR AVE STE 500
MEMPHIS, TN 38119
Shelby County (901) 422-8191
DR. JARED LEE MATTHEWS M.D.
Preventive Medicine (Addiction Medicine)
6401 POPLAR AVE STE 500
MEMPHIS, TN 38119
Shelby County (901) 746-9438
KYRSTAN ANDERSON LPC-MHSP
Counselor
6401 POPLAR AVE STE 500
MEMPHIS, TN 38119
Shelby County (901) 422-8191

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 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.

Where is Jamie Pettit located?

Jamie Pettit practices at 6401 Poplar Ave Ste 500, Memphis, TN 38119. The listed phone number is (901) 746-9438.

What is Jamie Pettit's specialty?

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

Is Jamie Pettit enrolled in Medicare?

Yes. Jamie Pettit is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Jamie Pettit's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jamie Pettit reassigns Medicare benefits to Arcare (Augusta, AR). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jamie Pettit's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 8 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.