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MINDY SUE PETTENGER
NPI 1386214559
Peer Specialist in Freeport, IL

Active since June 29, 2021
421 W EXCHANGE ST, FREEPORT, IL 61032(815) 599-7300 Get Directions Write a Review

NPPES record last updated: June 29, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mindy Sue Pettenger NPPES

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

MINDY SUE PETTENGER (NPI 1386214559) is an individual peer specialist in Freeport, Illinois and active in the NPI registry since June 2021.

NPPES Registry Identity

NPI1386214559
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameMINDY SUE PETTENGER
Location Address421 W EXCHANGE STFreeport, IL 61032-4008
Mailing AddressPo Box 813Freeport, IL 61032-0813
Phone(815) 599-7300
Sole ProprietorNo
Enumeration DateJune 29, 2021
NPPES CertifiedJune 29, 2021
✔ NPI 1386214559 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
421 W EXCHANGE ST, Freeport, IL 61032
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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.

MS. DEBORAH ANN BURNELL L.C.S.W.
Social Worker (Clinical)
421 W EXCHANGE ST
FREEPORT, IL 61032
Stephenson County (815) 599-7300
AUSTYN CARDOSO
Counselor
421 W EXCHANGE ST
FREEPORT, IL 61032
Stephenson County (815) 599-7300
RENATA DADEZ-HEPLER
Specialist
421 W EXCHANGE ST
FREEPORT, IL 61032
Stephenson County (815) 599-7300
EARL BROOKOVER
Social Worker (Clinical)
421 W EXCHANGE ST
FREEPORT, IL 61032
Stephenson County (815) 599-7300
ANDERSON BOATMAN LPC
Counselor (Professional)
421 W EXCHANGE ST
FREEPORT, IL 61032
Stephenson County (815) 599-7300
MICHELLE DREYER
Counselor
421 W EXCHANGE ST
FREEPORT, IL 61032
Stephenson County (815) 599-7300
TAKESHA J BROOKS
Counselor
421 W EXCHANGE ST
FREEPORT, IL 61032
Stephenson County (815) 599-7300
JANIECE KUMAR
Counselor (Addiction (Substance Use Disorder))
421 W EXCHANGE ST
FREEPORT, IL 61032
Stephenson County (815) 599-7300

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 Mindy Pettenger's NPI number?

The NPI number for Mindy Pettenger is 1386214559. It was assigned to this individual provider in the NPPES registry on June 29, 2021.

Where is Mindy Pettenger located?

Mindy Pettenger practices at 421 W Exchange St, Freeport, IL 61032. The listed phone number is (815) 599-7300.

What is Mindy Pettenger's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Mindy Pettenger was last updated on June 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.