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

NPI Status: Active since February 07, 2019

Contact Information

6401 POPLAR AVE STE 500
MEMPHIS, TN
ZIP 38119
Phone: (901) 746-9438
Fax: (901) 410-4536

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  • Individual
  • Male
  • Years of Experience 21
  • Counselor
  • Professional
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About JAMIE PETTIT

This page provides the complete NPI Profile along with additional information for Jamie Pettit, a provider established in Memphis, Tennessee with a medical specialization in Counselor, focusing in professional and more than 21 years of experience. The healthcare provider is registered in the NPI registry with number 1003371667 assigned on February 2019. The practitioner's primary taxonomy code is 101YP2500X with license number 2300 (TN). The provider is registered as an individual and his NPI record was last updated February 2026.

NPI
1003371667
Provider Name
DR. JAMIE RAY PETTIT ED.D LPC - MHSP
Gender
Male
Entity Type
Individual
Location Address
6401 POPLAR AVE STE 500 MEMPHIS, TN 38119
Location Phone
(901) 746-9438
Location Fax
(901) 410-4536
Mailing Address
PO BOX 497 AUGUSTA, AR 72006
Mailing Phone
(870) 347-2534
Medical School Name
OTHER
Graduation Year
2006
Is Sole Proprietor?
Yes
Enumeration Date
02-07-2019
Last Update Date
02-12-2026
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Location Map

Secondary Locations

  • 6630 Summer Knoll Cir
    Bartlett, TN 38134
    (901) 746-9438

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Professional

Taxonomy Code
101YP2500X
Type
Behavioral Health & Social Service Providers
License No.
2300
License State
TN

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1101YM0800XBehavioral Health & Social Service Providers

Counselor
Mental Health

2300 (TN)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
00002300OTHER (01)TNLPC NUMBER
Q051103MEDICAID (05)TN 

Medicare Participation & PECOS Enrollment Status

Jamie Pettit is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Jamie Pettit is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 6002242245

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20260526003873

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

Reviews for DR. JAMIE RAY PETTIT ED.D LPC - MHSP

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1003371667, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 53. The final step is to find the difference between that total and the next multiple of ten (60 - 53 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
0
Doubled → 0
Pos 4
3
Unchanged
Pos 5
3
Doubled → 6
Pos 6
7
Unchanged
Pos 7
1
Doubled → 2
Pos 8
6
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 3 → 6 1 → 2 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 0 + 3 + 6 + 7 + 2 + 6 + 1 + 2 + 24 = 53

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 53 is 60. The difference is the calculated check digit.

60 - 53 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1003371667.

Other Providers at the Same Location


The following 8 providers are registered at the same or a nearby location.

Internal Medicine (Addiction Medicine)
6401 POPLAR AVE STE 500
MEMPHIS, TN 38119
Preventive Medicine (Addiction Medicine)
6401 POPLAR AVE STE 500
MEMPHIS, TN 38119
Nurse Practitioner (Family)
6401 POPLAR AVE STE 500
MEMPHIS, TN 38119
Counselor (Mental Health)
6401 POPLAR AVE STE 500
MEMPHIS, TN 38119
Clinic/Center (Federally Qualified Health Center (FQHC))
6401 POPLAR AVE STE 500
MEMPHIS, TN 38119
Social Worker
6401 POPLAR AVE STE 500
MEMPHIS, TN 38119
Counselor
6401 POPLAR AVE STE 500
MEMPHIS, TN 38119
Internal Medicine
6401 POPLAR AVE STE 500
MEMPHIS, TN 38119

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003371667, enumerated as an "individual" on February 07, 2019.

The provider is located at 6401 POPLAR AVE STE 500 MEMPHIS, TN 38119 and the phone number is (901) 746-9438.

Counselor with taxonomy code 101YP2500X and a focus in Professional.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.