MICHELLE ALBANESE PETTENGILL ASW
NPI 1013038652
Counselor - Mental Health in Santa Clara, CA

Q: What is Michelle Pettengill's NPI number?

The NPI number for Michelle Pettengill is 1013038652. It was assigned to this individual provider in the NPPES registry on April 2, 2007.

Q: What is Michelle Pettengill's specialty?

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

Q: Is Michelle Pettengill enrolled in Medicare?

No. Michelle Pettengill has opted out of Medicare through July 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Active since April 02, 2007Opted out of Medicare · through Jul 1, 2028

3490 THE ALAMEDA, SANTA CLARA, CA 95050(408) 243-0222 Get Directions Write a Review

NPPES record last updated: July 13, 2015. Verified against the NPPES registry weekly; last sync: September 13, 2026.

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About Michelle Albanese Pettengill Asw NPPES

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

MICHELLE ALBANESE PETTENGILL ASW (NPI 1013038652) is an individual mental health provider in Santa Clara, California and active in the NPI registry since April 2007. She has opted out of Medicare through July 1, 2028.

NPPES Registry Identity

NPI1013038652

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameMICHELLE ALBANESE PETTENGILLCredential: ASW

Location Address3490 THE ALAMEDASanta Clara, CA 95050-4333

Mailing Address3490 The AlamedaSanta Clara, CA 95050-4333 · (408) 243-0222

Phone(408) 243-0222

Sole ProprietorNo

Enumeration DateApril 2, 2007

Last NPPES UpdateJuly 13, 2015

✔ NPI 1013038652 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

3490 THE ALAMEDA, Santa Clara, CA 95050

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Michelle Albanese Pettengill Asw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2024 through July 1, 2028.

Opt-Out Effective DateJuly 1, 2024

Opt-Out In Effect ThroughJuly 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 20

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

RICHARD GRANT MUIR M.A.

Counselor