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MS. ISIS JAIJADEA PETTWAY
NPI 1467969659
Counselor - Mental Health in Little Rock, AR

Active since January 09, 2018PECOS EnrolledAccepts Medicare Assignment
4224 SHUFFIELD DR, LITTLE ROCK, AR 72205(501) 526-8200(501) 526-5296 Get Directions Write a Review

NPPES record last updated: March 6, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 6, 2024, Jan 9, 2018 (2 updates tracked since 2018).

About Ms. Isis Jaijadea Pettway NPPES

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

MS. ISIS JAIJADEA PETTWAY (NPI 1467969659) is an individual mental health provider in Little Rock, Arkansas, licensed in Arkansas (P2304012) and active in the NPI registry since January 2018. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1467969659
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. ISIS JAIJADEA PETTWAY
Location Address4224 SHUFFIELD DRLittle Rock, AR 72205-7211
Mailing Address4301 W Markham St # 783Little Rock, AR 72205-7101 · (501) 666-8000 · Fax (501) 526-5148
Phone(501) 526-8200
Fax(501) 526-5296
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJanuary 9, 2018
Last NPPES UpdateMarch 6, 20242 updates tracked since enumeration
NPPES CertifiedMarch 6, 2024
✔ NPI 1467969659 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in AR · P2304012
4224 SHUFFIELD DR, Little Rock, AR 72205
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Secondary Practice Locations 2

Location 16601 W 12th StLittle Rock, AR 72204-1513 · Phone (501) 666-8686
Location 24301 W Markham St # 568Little Rock, AR 72205-7101 · Phone (501) 526-8200 · Fax (501) 526-5296

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Arkansas Blue Cross and Blue Shield, Health Advantage, Octave.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Isis Jaijadea Pettway is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9537506274
PECOS Enrollment IDI20240318002029
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.

MICHAEL D LOWERY LCSW
Social Worker (Clinical)
4224 SHUFFIELD DR
LITTLE ROCK, AR 72205
Pulaski County (501) 526-8200
NICHOLAS SCOTT WARD
Counselor (Professional)
4224 SHUFFIELD DR
LITTLE ROCK, AR 72205
Pulaski County (501) 526-8200
DR. TRACY ANNE HASELOW M.D.
Psychiatry & Neurology (Psychiatry)
4224 SHUFFIELD DR
LITTLE ROCK, AR 72205
Pulaski County (501) 526-8200
HILARY ALEXANDRA CLARK MA
Clinical Neuropsychologist
4224 SHUFFIELD DR
LITTLE ROCK, AR 72205
Pulaski County (501) 526-8200
LESHIA FOX LCSW, CADC
Social Worker (Clinical)
4224 SHUFFIELD DR
LITTLE ROCK, AR 72205
Pulaski County (501) 526-8400
STEVEN KENT MCCLATCHY
Counselor (Mental Health)
4224 SHUFFIELD DR
LITTLE ROCK, AR 72205
Pulaski County (501) 526-8200
ASHLEY CLINTON WADSWORTH
Counselor (Mental Health)
4224 SHUFFIELD DR
LITTLE ROCK, AR 72205
Pulaski County (501) 526-8200
ALICIA LANDRUM LPC
Counselor (Professional)
4224 SHUFFIELD DR
LITTLE ROCK, AR 72205
Pulaski County (501) 526-8200

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 Isis Pettway's NPI number?

The NPI number for Isis Pettway is 1467969659. It was assigned to this individual provider in the NPPES registry on January 9, 2018.

Where is Isis Pettway located?

Isis Pettway practices at 4224 Shuffield Dr, Little Rock, AR 72205. The listed phone number is (501) 526-8200.

What is Isis Pettway's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Isis Pettway enrolled in Medicare?

Yes. Isis Pettway is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Isis Pettway accept?

Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list Isis Pettway 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 Isis Pettway was last updated on March 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.