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PETTINGILL COUNSELING SERVICES, PROFESSIONAL CORPORATION
NPI 1194847285
Counselor in Idaho Falls, ID

Active since April 06, 2007
1302 E 17TH ST, IDAHO FALLS, ID 83404(208) 542-9919(208) 542-6272 Get Directions Write a Review

NPPES record last updated: December 19, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 19, 2022, Jul 5, 2022, Aug 22, 2020 (3 updates tracked since 2020).

About Pettingill Counseling Services, Professional Corporation NPPES

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

PETTINGILL COUNSELING SERVICES, PROFESSIONAL CORPORATION (NPI 1194847285) is a healthcare organization registered as a counselor in Idaho Falls, Idaho and active in the NPI registry since April 2007. The organization lists Tamara K. Pettingill, Owner, as its authorized official.

NPPES Registry Identity

NPI1194847285
Entity TypeOrganization
Primary Taxonomy101Y00000X
Legal Business NamePETTINGILL COUNSELING SERVICES, PROFESSIONAL CORPORATION
Location Address1302 E 17TH STIdaho Falls, ID 83404-6270
Mailing Address2267 Teton PlzIdaho Falls, ID 83404-6486 · (208) 542-9919 · Fax (208) 542-6272
Phone(208) 542-9919
Fax(208) 542-6272
Organization SubpartNo
Authorized OfficialTamara K. PettingillOwner · (208) 542-9919
Enumeration DateApril 6, 2007
Last NPPES UpdateDecember 19, 20223 updates tracked since enumeration
NPPES CertifiedDecember 19, 2022
✔ NPI 1194847285 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 ID · LCSW-24477
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.
1302 E 17TH ST, Idaho Falls, ID 83404
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Other Identifiers 1

Medicaid806864000ID

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

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

AHNA RACHAEL HATCH
Counselor (Mental Health)
1302 E 17TH ST
IDAHO FALLS, ID 83404
Bonneville County (208) 642-9919
AUGUSTA KUMBA COX LMSW
Social Worker
1302 E 17TH ST
IDAHO FALLS, ID 83404
Bonneville County (208) 542-9919
MS. TAMARA K. PETTINGILL LCSW
Social Worker (Clinical)
1302 E 17TH ST
IDAHO FALLS, ID 83404
Bonneville County (208) 542-9199
ETHAN BRYAN BOOKER LMSW
Counselor (Professional)
1302 E 17TH ST
IDAHO FALLS, ID 83404
Bonneville County (208) 542-9919
PETTINGILL COUNSELING PC
Counselor (Mental Health)
1302 E 17TH ST
IDAHO FALLS, ID 83404
Bonneville County (208) 542-9919
PETTINGILL COUNSELING SERVICES, PROFESSIONAL CORPORATION
Social Worker (Clinical)
1302 E 17TH ST
IDAHO FALLS, ID 83404
Bonneville County (208) 542-9919

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 Pettingill Counseling Services, Professional Corporation's NPI number?

The NPI number for Pettingill Counseling Services, Professional Corporation is 1194847285. It was assigned to this organization in the NPPES registry on April 6, 2007.

Where is Pettingill Counseling Services, Professional Corporation located?

Pettingill Counseling Services, Professional Corporation is located at 1302 E 17th St, Idaho Falls, ID 83404. The listed phone number is (208) 542-9919.

What is Pettingill Counseling Services, Professional Corporation's specialty?

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

When was this NPI record last updated?

The NPPES record for Pettingill Counseling Services, Professional Corporation was last updated on December 19, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.