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BRANDON PETTRY
NPI 1174134001
Counselor in Wellington, OH

Active since August 13, 2020
508 DICKSON ST STE 2, WELLINGTON, OH 44090(440) 828-0012 Get Directions Write a Review

NPPES record last updated: May 7, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 7, 2025, Aug 21, 2023, Aug 13, 2020 (3 updates tracked since 2020).

About Brandon Pettry NPPES

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

BRANDON PETTRY (NPI 1174134001) is an individual counselor in Wellington, Ohio, licensed in Ohio (C.2103628) and active in the NPI registry since August 2020.

NPPES Registry Identity

NPI1174134001
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameBRANDON PETTRY
Location Address508 DICKSON ST STE 2Wellington, OH 44090-1300
Mailing Address29454 Hawley RdSullivan, OH 44880-9602 · (440) 731-9030
Phone(440) 828-0012
Sole ProprietorNo
Enumeration DateAugust 13, 2020
Last NPPES UpdateMay 7, 20253 updates tracked since enumeration
NPPES CertifiedMay 7, 2025
✔ NPI 1174134001 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in OH · C.2103628
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
508 DICKSON ST STE 2, Wellington, OH 44090
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Other Providers at the Same Location NPPES 5

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

CORNERSTONE PATHWAYS, LLC
Counselor
508 DICKSON ST STE 2
WELLINGTON, OH 44090
Lorain County (330) 636-0428
NAOMI PRUITT SWT
Social Worker
508 DICKSON ST STE 2
WELLINGTON, OH 44090
Lorain County (440) 828-0012
MEGAN PINTNER
Social Worker (Clinical)
508 DICKSON ST STE 2
WELLINGTON, OH 44090
Lorain County (440) 828-0012
TRINITY ROSE PAPESH CDCA
Counselor (Addiction (Substance Use Disorder))
508 DICKSON ST STE 2
WELLINGTON, OH 44090
Lorain County (440) 828-0012
SARAH PAPESH LPCC-S, CTP
Counselor (Professional)
508 DICKSON ST STE 2
WELLINGTON, OH 44090
Lorain County (440) 828-0012

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 Brandon Pettry's NPI number?

The NPI number for Brandon Pettry is 1174134001. It was assigned to this individual provider in the NPPES registry on August 13, 2020.

Where is Brandon Pettry located?

Brandon Pettry practices at 508 Dickson St Ste 2, Wellington, OH 44090. The listed phone number is (440) 828-0012.

What is Brandon Pettry's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

What insurance does Brandon Pettry accept?

Health plans from CareSource list Brandon Pettry as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Brandon Pettry was last updated on May 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.