JACQUELYN PETTY LPC
NPI 1053466870
Counselor - Professional in Sanford, NC

Active since January 24, 2007
130 CARBONTON RD, SANFORD, NC 27330(919) 774-6521 Get Directions Write a Review

NPPES record last updated: August 1, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jacquelyn Petty Lpc NPPES

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

JACQUELYN PETTY LPC (NPI 1053466870) is an individual professional provider in Sanford, North Carolina, licensed in North Carolina (4807) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1053466870
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJACQUELYN PETTYCredential: LPC
Location Address130 CARBONTON RDSanford, NC 27330-4009
Mailing Address2234 Walter Bright RdSanford, NC 27330-0341 · (919) 770-4588
Sole ProprietorNo
Enumeration DateJanuary 24, 2007
Last NPPES UpdateAugust 1, 2013
NPI 1053466870 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in NC · 4807
130 CARBONTON RD, Sanford, NC 27330

Other Identifiers 1

Medicaid6103319NC

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.

Social Worker (Clinical)
130 CARBONTON RD
SANFORD, NC 27330
Social Worker (Clinical)
130 CARBONTON RD
SANFORD, NC 27330
Counselor (Addiction (Substance Use Disorder))
130 CARBONTON RD
SANFORD, NC 27330
Counselor
130 CARBONTON RD
SANFORD, NC 27330
Marriage & Family Therapist
130 CARBONTON RD
SANFORD, NC 27330
Social Worker (Clinical)
130 CARBONTON RD
SANFORD, NC 27330
Social Worker (Clinical)
130 CARBONTON RD
SANFORD, NC 27330
Counselor
130 CARBONTON RD
SANFORD, NC 27330

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 Jacquelyn Petty's NPI number?

The NPI number for Jacquelyn Petty is 1053466870. It was assigned to this individual provider in the NPPES registry on January 24, 2007.

Where is Jacquelyn Petty located?

Jacquelyn Petty practices at 130 Carbonton Rd, Sanford, NC 27330. The listed phone number is (919) 774-6521.

What is Jacquelyn Petty's specialty?

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

When was this NPI record last updated?

The NPPES record for Jacquelyn Petty was last updated on August 1, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.