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BERNICE PETTY
NPI 1396254652
Counselor - Professional in South Euclid, OH

Active since September 29, 2017
1496 S GREEN RD, SOUTH EUCLID, OH 44121(162) 389-7413(216) 916-0995 Get Directions Write a Review

NPPES record last updated: October 17, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bernice Petty NPPES

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

BERNICE PETTY (NPI 1396254652) is an individual professional provider in South Euclid, Ohio, licensed in Ohio (163462) and active in the NPI registry since September 2017.

NPPES Registry Identity

NPI1396254652
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameBERNICE PETTY
Location Address1496 S GREEN RDSouth Euclid, OH 44121-4088
Mailing Address1496 S Green RdSouth Euclid, OH 44121-4088 · (162) 389-7413 · Fax (162) 916-0995
Phone(162) 389-7413
Fax(216) 916-0995
Sole ProprietorYes
Enumeration DateSeptember 29, 2017
Last NPPES UpdateOctober 17, 2022
NPPES CertifiedOctober 17, 2022
✔ NPI 1396254652 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 OH · 163462
1496 S GREEN RD, South Euclid, OH 44121
Open in Google Maps ↗

Other Names 1

Other Name (5)Mrs. Bernice Ford Cdca

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health.Insurance ›

Other Providers at the Same Location NPPES 15

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

LAURA LYNN NATOLA CDCA
Counselor (Addiction (Substance Use Disorder))
1496 S GREEN RD
CLEVELAND, OH 44121
Cuyahoga County (216) 389-7413
MS. TORA K WILLIAMS
Counselor (Addiction (Substance Use Disorder))
1496 S GREEN RD
SOUTH EUCLID, OH 44121
Cuyahoga County (216) 526-3424
KATRICIA DODSON
Counselor (Addiction (Substance Use Disorder))
1496 S GREEN RD
SOUTH EUCLID, OH 44121
Cuyahoga County (216) 389-7413
CHERYL D. JONES
Case Manager/Care Coordinator
1496 S GREEN RD
SOUTH EUCLID, OH 44121
Cuyahoga County (216) 324-1808
JOYA DAVONNE CALLOWAY
Case Management
1496 S GREEN RD
CLEVELAND, OH 44121
Cuyahoga County (216) 389-7413
MS. TAMMORA AILENE REED
Counselor (Addiction (Substance Use Disorder))
1496 S GREEN RD
SOUTH EUCLID, OH 44121
Cuyahoga County (216) 554-5508
I'M IN TRANSITION MINISTRIES
Community/Behavioral Health
1496 S GREEN RD
SOUTH EUCLID, OH 44121
Cuyahoga County (216) 389-7413
QIANA STEWART REGISTERED NURSE
Registered Nurse (Case Management)
1496 S GREEN RD
SOUTH EUCLID, OH 44121
Cuyahoga County (216) 389-7413

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 Bernice Petty's NPI number?

The NPI number for Bernice Petty is 1396254652. It was assigned to this individual provider in the NPPES registry on September 29, 2017. The provider is also known as Mrs. Bernice Ford Cdca.

Where is Bernice Petty located?

Bernice Petty practices at 1496 S Green Rd, South Euclid, OH 44121. The listed phone number is (162) 389-7413.

What is Bernice Petty's specialty?

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

What insurance does Bernice Petty accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Bernice Petty 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 Bernice Petty was last updated on October 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.