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AMY PETTENGILL MLADC
NPI 1457916660
Counselor - Addiction (Substance Use Disorder) in Manchester, NH

Active since May 02, 2019PECOS Enrolled
700 LAKE AVE, MANCHESTER, NH 03103(603) 622-3020 Get Directions Write a Review

NPPES record last updated: June 24, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 24, 2025, Feb 1, 2021, May 2, 2019 (3 updates tracked since 2019).

About Amy Pettengill Mladc NPPES

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

AMY PETTENGILL MLADC (NPI 1457916660) is an individual addiction (substance use disorder) provider in Manchester, New Hampshire, licensed in New Hampshire (1233) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1457916660
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameAMY PETTENGILLCredential: MLADC
Location Address700 LAKE AVEManchester, NH 03103-2734
Mailing Address700 Lake Ave Ste AManchester, NH 03103-2734 · (603) 622-3020 · Fax (603) 622-8094
Phone(603) 622-3020
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMay 2, 2019
Last NPPES UpdateJune 24, 20253 updates tracked since enumeration
NPPES CertifiedJune 24, 2025
✔ NPI 1457916660 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
Licenses✔ Licensed in NH · 1233✔ Licensed in NH · 0957
700 LAKE AVE, Manchester, NH 03103
Open in Google Maps ↗

Other Identifiers 1

Medicaid3126041NH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include WellSense Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amy Pettengill Mladc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID244713949
PECOS Enrollment IDI20260311001708
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

ZIMMERMANN CHIROPRACTIC AND WELLNESS CENTER, LLC
Chiropractor (Sports Physician)
700 LAKE AVE, SUITE 3
MANCHESTER, NH 03103
Hillsborough County (603) 668-7070
MARC J MICHAUD MD
Orthopaedic Surgery (Foot and Ankle Surgery)
700 LAKE AVE, SUITE ONE
MANCHESTER, NH 03103
Hillsborough County (603) 669-5454
MS. SARAH P HARRIS LADC
Counselor (Addiction (Substance Use Disorder))
700 LAKE AVE
MANCHESTER, NH 03103
Hillsborough County (603) 622-3020
KAYLA BUSHWAY LICSW
Social Worker (Clinical)
700 LAKE AVE
MANCHESTER, NH 03103
Hillsborough County (603) 622-3020
SHEILA MURPHY NARDOZZA PT
Physical Therapist
700 LAKE AVE, SUITE 3
MANCHESTER, NH 03103
Hillsborough County (603) 668-7005
FOUR SEASONS IMAGING
Clinic/Center (Magnetic Resonance Imaging (MRI))
700 LAKE AVE
MANCHESTER, NH 03103
Hillsborough County (603) 689-1666
NEW HAMPSHIRE ORTHOPAEDIC SURGERY, PA
Orthopaedic Surgery
700 LAKE AVE, SUITE ONE
MANCHESTER, NH 03103
Hillsborough County (603) 669-5454
DAVID H GUNDY MD
Orthopaedic Surgery
700 LAKE AVE, SUITE ONE
MANCHESTER, NH 03103
Hillsborough County (603) 669-5454

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 Amy Pettengill's NPI number?

The NPI number for Amy Pettengill is 1457916660. It was assigned to this individual provider in the NPPES registry on May 2, 2019.

Where is Amy Pettengill located?

Amy Pettengill practices at 700 Lake Ave, Manchester, NH 03103. The listed phone number is (603) 622-3020.

What is Amy Pettengill's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Amy Pettengill enrolled in Medicare?

Yes. Amy Pettengill is registered in the Medicare PECOS enrollment system.

What insurance does Amy Pettengill accept?

Health plans from WellSense Health Plan list Amy Pettengill 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 Amy Pettengill was last updated on June 24, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.