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MR. JATHANIEL A PETTITT LPCC
NPI 1629770904
Counselor - Mental Health in Cerritos, CA

Active since March 20, 2023
12900 PARK PLAZA DR, CERRITOS, CA 90703(305) 630-1346 Get Directions Write a Review

NPPES record last updated: March 20, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Jathaniel A Pettitt Lpcc NPPES

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

MR. JATHANIEL A PETTITT LPCC (NPI 1629770904) is an individual mental health provider in Cerritos, California, licensed in California (LPCC10824) and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1629770904
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. JATHANIEL A PETTITTCredential: LPCC
Location Address12900 PARK PLAZA DRCerritos, CA 90703-9329
Mailing Address17378 W Pima StGoodyear, AZ 85338-1962 · (972) 841-9262
Phone(305) 630-1346
Sole ProprietorYes
Enumeration DateMarch 20, 2023
NPPES CertifiedMarch 20, 2023
✔ NPI 1629770904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses✔ Licensed in CA · LPCC10824✔ Licensed in AZ · LPC-19640✔ Licensed in TX · 66158
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License LPC-19640 (AZ), 66158 (TX), LPCC10824 (CA)
12900 PARK PLAZA DR, Cerritos, CA 90703
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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.

DR. ARDAVAN MEHDIZADEH M.D.
Internal Medicine
12900 PARK PLAZA DR, SUITE 150
CERRITOS, CA 90703
Los Angeles County (562) 207-0139
DONALD S. FURMAN MD
Internal Medicine (Gastroenterology)
12900 PARK PLAZA DR, ATTENTION: MAGGIE NOLES
CERRITOS, CA 90703
Los Angeles County (562) 741-4461
CHARLES HALBERT
Marriage & Family Therapist
12900 PARK PLAZA DR
CERRITOS, CA 90703
Los Angeles County (562) 246-3510
IRIS BUAN DNP, NP-C
Nurse Practitioner (Family)
12900 PARK PLAZA DR
CERRITOS, CA 90703
Los Angeles County (310) 808-3410
SIERRA HARTSFIELD
Social Worker (Clinical)
12900 PARK PLAZA DR
CERRITOS, CA 90703
Los Angeles County (562) 467-5438
ALBION MEDICAL PARTNERS OF CALIFORNIA WEST P C
Internal Medicine
12900 PARK PLAZA DR, STE 700, MS-7110
CERRITOS, CA 90703
Los Angeles County (562) 622-2800
MARCIA PATRICIA HARLAN FNP-C
Nurse Practitioner (Family)
12900 PARK PLAZA DR, STE 150
CERRITOS, CA 90703
Los Angeles County (866) 646-3553
KRYSTAL ADAMS N.P
Nurse Practitioner
12900 PARK PLAZA DR
CERRITOS, CA 90703
Los Angeles County (562) 622-2803

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 Jathaniel Pettitt's NPI number?

The NPI number for Jathaniel Pettitt is 1629770904. It was assigned to this individual provider in the NPPES registry on March 20, 2023.

Where is Jathaniel Pettitt located?

Jathaniel Pettitt practices at 12900 Park Plaza Dr, Cerritos, CA 90703. The listed phone number is (305) 630-1346.

What is Jathaniel Pettitt's specialty?

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

When was this NPI record last updated?

The NPPES record for Jathaniel Pettitt was last updated on March 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.