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MICHELLE L PETTY M.S., LMHC
NPI 1578812533
Counselor - Mental Health in Tampa, FL

Active since September 06, 2012PECOS Enrolled
1412 TECH BLVD, TAMPA, FL 33619(813) 635-9765 Get Directions Write a Review

NPPES record last updated: June 20, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Michelle L Petty M.s., Lmhc NPPES

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

MICHELLE L PETTY M.S., LMHC (NPI 1578812533) is an individual mental health provider in Tampa, Florida, licensed in Florida (MH12590) and active in the NPI registry since September 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1578812533
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMICHELLE L PETTYCredential: M.S., LMHC
Location Address1412 TECH BLVDTampa, FL 33619-7865
Mailing Address1412 Tech BlvdTampa, FL 33619-7865 · (813) 635-9765
Phone(813) 635-9765
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateSeptember 6, 2012
Last NPPES UpdateJune 20, 2014
✔ NPI 1578812533 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 FL · MH12590
1412 TECH BLVD, Tampa, FL 33619
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michelle L Petty M.s., Lmhc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3274099924
PECOS Enrollment IDI20260801000420
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.

Medicare Billing Reassignment

Medicare enrollment records show Michelle Petty reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grow Healthcare Group PA
200 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Florida enrollment
  • 3,079 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 12

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

MARSHA MURRAY M.A,
Counselor (Mental Health)
1412 TECH BLVD
TAMPA, FL 33619
Hillsborough County (813) 635-9765
SAMANTHA SHEVITZ
Counselor (Mental Health)
1412 TECH BLVD
TAMPA, FL 33619
Hillsborough County (813) 635-9765
MRS. KRISTA SCHWEIBERGER JONES LMHC
Counselor (Mental Health)
1412 TECH BLVD
TAMPA, FL 33619
Hillsborough County (813) 635-9765
JENNIFER IRVINE LMHC
Counselor (Mental Health)
1412 TECH BLVD
TAMPA, FL 33619
Hillsborough County (813) 635-9765
REBECCA G JARMON LMHC
Counselor (Mental Health)
1412 TECH BLVD
TAMPA, FL 33619
Hillsborough County (813) 310-5412
ADAM HORWITZ
Counselor (Mental Health)
1412 TECH BLVD
TAMPA, FL 33619
Hillsborough County (813) 310-2377
KRISHNA R PANCHAL MS
Counselor (Mental Health)
1412 TECH BLVD
TAMPA, FL 33619
Hillsborough County (813) 635-9765
DEBRA RICHARD MA
Counselor (Mental Health)
1412 TECH BLVD
TAMPA, FL 33619
Hillsborough County (813) 635-9765

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 Michelle Petty's NPI number?

The NPI number for Michelle Petty is 1578812533. It was assigned to this individual provider in the NPPES registry on September 6, 2012.

Where is Michelle Petty located?

Michelle Petty practices at 1412 Tech Blvd, Tampa, FL 33619. The listed phone number is (813) 635-9765.

What is Michelle Petty's specialty?

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

Is Michelle Petty enrolled in Medicare?

Yes. Michelle Petty is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Michelle Petty's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michelle Petty reassigns Medicare benefits to Grow Healthcare Group PA (Miami, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michelle Petty's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michelle Petty accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Michelle 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 Michelle Petty was last updated on June 20, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.