Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

PETTINGILL COUNSELING SERVICES, PROFESSIONAL CORPORATION
NPI 1194847285
Social Worker - Clinical in Idaho Falls, ID

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

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

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: October 21, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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

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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), doing business as Pettingill Behavioral Services, is a healthcare organization registered as a clinical in Idaho Falls, Idaho and active in the NPI registry since April 2007. The organization lists Tamara Pettingill, Owner, as its authorized official.

NPPES Registry Identity

NPI1194847285

Entity TypeOrganization

Primary Taxonomy1041C0700X

Legal Business NamePETTINGILL COUNSELING SERVICES, PROFESSIONAL CORPORATION

Location Address1302 E 17TH STIdaho Falls, ID 83404-6270

Mailing Address1302 E 17th StIdaho Falls, ID 83404-6270 · (208) 542-9919 · Fax (208) 542-6272

Phone(208) 542-9919

Fax(208) 542-6272

Organization SubpartYesParent: Pettingill Counseling Services, Pc

Authorized OfficialTamara PettingillOwner · (208) 542-9919

Enumeration DateApril 6, 2007

Last NPPES UpdateOctober 21, 20263 updates tracked since enumeration

NPPES CertifiedOctober 21, 2026

✔ NPI 1194847285 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in ID · LCSW-24477

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

1302 E 17TH ST, Idaho Falls, ID 83404

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Other Names 1

Doing Business AsPettingill Behavioral Services

Other Identifiers 1

Medicaid806864000ID

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)