MR. CHAD WALTER PETTIES SR.
NPI 1528398971
Marriage & Family Therapist in Mira Loma, CA

Q: What is Chad Petties's NPI number?

The NPI number for Chad Petties is 1528398971. It was assigned to this individual provider in the NPPES registry on January 7, 2010.

Q: What is Chad Petties's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Chad Petties was last updated on September 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.

Active since January 07, 2010PECOS Enrolled

10551 BELLEGRAVE AVE, MIRA LOMA, CA 91752(951) 488-2938 Get Directions Write a Review

NPPES record last updated: September 12, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mr. Chad Walter Petties Sr. NPPES

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

MR. CHAD WALTER PETTIES SR. (NPI 1528398971) is an individual marriage & family therapist in Mira Loma, California, licensed in California (92433) and active in the NPI registry since January 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1528398971

Entity TypeIndividualMale

Primary Taxonomy106H00000X

Provider Legal NameMR. CHAD WALTER PETTIES SR.

Location Address10551 BELLEGRAVE AVEMira Loma, CA 91752-1800

Mailing Address3939 Thirtenth StreetRiverside, CA 92507-4944 · (951) 488-2938

Phone(951) 488-2938

Sole ProprietorYes

Enumeration DateJanuary 7, 2010

Last NPPES UpdateSeptember 12, 2024

NPPES CertifiedSeptember 9, 2024

✔ NPI 1528398971 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · 92433

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

10551 BELLEGRAVE AVE, Mira Loma, CA 91752

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Chad Walter Petties Sr. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 2

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

LESLIE CERVANTES LOPEZ

Community Health Worker

10551 BELLEGRAVE AVE
JURUPA VALLEY, CA 91752

Riverside County (951) 360-2660

RIVERSIDE RECOVERY RESOURCES

Clinic/Center (Rehabilitation, Substance Use Disorder)

10551 BELLEGRAVE AVE, JURUPA VALLEY HIGH SCHOOL
MIRA LOMA, CA 91752

Riverside County (951) 294-5882

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 Chad Petties's NPI number?

The NPI number for Chad Petties is 1528398971. It was assigned to this individual provider in the NPPES registry on January 7, 2010.

Where is Chad Petties located?

Chad Petties practices at 10551 Bellegrave Ave, Mira Loma, CA 91752. The listed phone number is (951) 488-2938.

What is Chad Petties's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Chad Petties enrolled in Medicare?

Yes. Chad Petties is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Chad Petties was last updated on September 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.