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: July 19, 2026.

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

  • Individual
  • Female
  • Years of Experience 8
  • Counselor
  • Mental Health
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About ISIS PETTWAY

This page provides the complete NPI Profile along with additional information for Isis Pettway, a provider established in Little Rock, Arkansas with a medical specialization in Counselor, focusing in mental health and more than 8 years of experience. The healthcare provider is registered in the NPI registry with number 1467969659 assigned on January 2018. The practitioner's primary taxonomy code is 101YM0800X with license number P2304012 (AR). The provider is registered as an individual and her NPI record was last updated 2 years ago.

NPI
1467969659 Verify this NPI
Provider Name
MS. ISIS JAIJADEA PETTWAY
Gender
Female
Entity Type
Individual
Location Address
4224 SHUFFIELD DR LITTLE ROCK, AR 72205
Location Phone
(501) 526-8200
Location Fax
(501) 526-5296
Mailing Address
4301 W MARKHAM ST # 783 LITTLE ROCK, AR 72205
Mailing Phone
(501) 666-8000
Mailing Fax
(501) 526-5148
Medical School Name
OTHER
Graduation Year
2019
Is Sole Proprietor?
No
Enumeration Date
01-09-2018
Last Update Date
03-06-2024
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A mental health counselor like Isis Pettway provides treatment to individuals, families, couples, and groups for mental and emotional health issues and relationship problems. Mental health counselors treat clients with a variety of conditions, including anxiety, depression, grief, low self-esteem, stress, and suicidal impulses.

Location Map

Secondary Locations

  • 6601 W 12th St
    Little Rock, AR 72204
    (501) 666-8686
  • 4301 W Markham St # 568
    Little Rock, AR 72205
    (501) 526-8200

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Mental Health

Taxonomy Code
101YM0800X
Type
Behavioral Health & Social Service Providers
License No.
P2304012
License State
AR

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Bronze Exp Standardized - PPO
  • Bronze Value - PPO
  • Catastrophic HSA - PPO
  • Gold Standardized - PPO
  • Gold Value - PPO
  • Silver AH - PPO
  • Silver Standardized - PPO
  • Dental Gold - PPO
  • Dental Gold Plus Vision - PPO
  • Dental Pediatric - PPO
  • Dental Platinum - PPO
  • Dental Platinum Plus Vision - PPO
  • Dental Platinum Premium - PPO
  • Dental Platinum Premium Plus Vision - PPO
  • Dental Silver - PPO
  • HA Bronze Exp Standardized - POS
  • HA Bronze National - POS
  • HA Gold Premier National - POS
  • HA Gold Standardized - POS
  • HA Platinum Premier National - POS
  • HA Platinum Standardized - POS
  • HA Silver AH - POS
  • HA Silver Standardized - POS
  • Octave Bronze Exp Standardized - POS
  • Octave Bronze Value - POS
  • Octave Gold Classic National - POS
  • Octave Gold Standardized - POS
  • Octave Silver AH - POS
  • Octave Silver Standardized - POS

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Isis Pettway is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Isis Pettway is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 9537506274

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20240318002029

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

Reviews for MS. ISIS JAIJADEA PETTWAY

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Social Worker (Clinical)
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Social Worker (Clinical)
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Social Worker (Clinical)
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Psychiatry & Neurology (Psychiatry)
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Psychiatry & Neurology (Addiction Psychiatry)
4224 SHUFFIELD DR
LITTLE ROCK, AR 72205
Social Worker (Clinical)
4224 SHUFFIELD DR
LITTLE ROCK, AR 72205
Psychiatry & Neurology (Addiction Medicine)
4224 SHUFFIELD DR
LITTLE ROCK, AR 72205
Psychiatry & Neurology (Psychiatry)
4224 SHUFFIELD DR
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Psychiatry & Neurology (Psychiatry)
4224 SHUFFIELD DR
LITTLE ROCK, AR 72205
Psychiatry & Neurology (Psychiatry)
4224 SHUFFIELD DR
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Counselor (Professional)
4224 SHUFFIELD DR
LITTLE ROCK, AR 72205
Psychiatry & Neurology (Psychiatry)
4224 SHUFFIELD DR
LITTLE ROCK, AR 72205
Social Worker (Clinical)
4224 SHUFFIELD DR
LITTLE ROCK, AR 72205
Counselor (Professional)
4224 SHUFFIELD DR
LITTLE ROCK, AR 72205
Counselor (Professional)
4224 SHUFFIELD DR
LITTLE ROCK, AR 72205
Counselor (Professional)
4224 SHUFFIELD DR
LITTLE ROCK, AR 72205
Counselor (Mental Health)
4224 SHUFFIELD DR
LITTLE ROCK, AR 72205
Social Worker (Clinical)
4224 SHUFFIELD DR
LITTLE ROCK, AR 72205
Counselor (Professional)
4224 SHUFFIELD DR
LITTLE ROCK, AR 72205

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1467969659, enumerated as an "individual" on January 09, 2018.

The provider is located at 4224 SHUFFIELD DR LITTLE ROCK, AR 72205 and the phone number is (501) 526-8200.

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

The provider might be accepting Accepts: Arkansas Blue Cross and Blue Shield, Health. Please consult your insurance carrier or call the provider to verify.