JOEL D PETTY
NPI 1639212467
Counselor - Mental Health in Baraboo, WI

Active since February 14, 2007
505 BROADWAY ST, BARABOO, WI 53913(608) 355-4210 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Joel D Petty NPPES

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

JOEL D PETTY (NPI 1639212467) is an individual mental health provider in Baraboo, Wisconsin and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1639212467
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJOEL D PETTY
Location Address505 BROADWAY STBaraboo, WI 53913-2183
Mailing Address329 2nd AveBaraboo, WI 53913-2459
Sole ProprietorNo
Enumeration DateFebruary 14, 2007
Last NPPES UpdateSeptember 11, 2025
NPI 1639212467 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
505 BROADWAY ST, Baraboo, WI 53913

Other Identifiers 4

Other1025011WI · Physicians Plus
Other11991WI · Dean Health Plan
Other39600574011WI · Unity Health Insurance
Medicaid39784200WI

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.

Counselor (Addiction (Substance Use Disorder))
505 BROADWAY ST
BARABOO, WI 53913
Social Worker (Clinical)
505 BROADWAY ST
BARABOO, WI 53913
Counselor (Addiction (Substance Use Disorder))
505 BROADWAY ST
BARABOO, WI 53913
Counselor (Mental Health)
505 BROADWAY ST
BARABOO, WI 53913
Registered Nurse (Psychiatric/Mental Health)
505 BROADWAY ST
BARABOO, WI 53913
Community/Behavioral Health
505 BROADWAY ST
BARABOO, WI 53913
Social Worker (Clinical)
505 BROADWAY ST
BARABOO, WI 53913
Behavior Analyst
505 BROADWAY ST
BARABOO, WI 53913

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 Joel Petty's NPI number?

The NPI number for Joel Petty is 1639212467. It was assigned to this individual provider in the NPPES registry on February 14, 2007.

Where is Joel Petty located?

Joel Petty practices at 505 Broadway St, Baraboo, WI 53913. The listed phone number is (608) 355-4210.

What is Joel Petty'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 Joel Petty was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.