CONSTANCE PETTITT LPC, LAC
NPI 1639678667
Counselor - Mental Health in Fountain, CO

Active since February 05, 2018PECOS Enrolled
709 DALE ST STE B, FOUNTAIN, CO 80817(719) 344-3864 Get Directions Write a Review

NPPES record last updated: January 17, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jan 17, 2021, Jun 16, 2018 (2 updates tracked since 2018).

About Constance Pettitt Lpc, Lac NPPES

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

CONSTANCE PETTITT LPC, LAC (NPI 1639678667) is an individual mental health provider in Fountain, Colorado and active in the NPI registry since February 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in Colorado Springs.

NPPES Registry Identity

NPI1639678667
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameCONSTANCE PETTITTCredential: LPC, LAC
Location Address709 DALE ST STE BFountain, CO 80817-1794
Mailing Address709 Dale St Ste BFountain, CO 80817-1794 · (719) 344-3864
Sole ProprietorYes
Enumeration DateFebruary 5, 2018
Last NPPES UpdateJanuary 17, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 17, 2021
NPI 1639678667 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
Also ListedPsychologistTaxonomy 103T00000X
709 DALE ST STE B, Fountain, CO 80817

Secondary Practice Location 1

Location 17750 N Union BlvdColorado Springs, CO 80920-4051 · Phone (719) 344-3864

Other Identifiers 1

Medicaid90000158233CO

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Constance Pettitt Lpc, Lac 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

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

Counselor (Mental Health)
709 DALE ST STE B
FOUNTAIN, CO 80817

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 Constance Pettitt's NPI number?

The NPI number for Constance Pettitt is 1639678667. It was assigned to this individual provider in the NPPES registry on February 5, 2018.

Where is Constance Pettitt located?

Constance Pettitt practices at 709 Dale St Ste B, Fountain, CO 80817. The listed phone number is (719) 344-3864.

What is Constance Pettitt's specialty?

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

Is Constance Pettitt enrolled in Medicare?

Yes. Constance Pettitt is registered in the Medicare PECOS enrollment system.

What insurance does Constance Pettitt accept?

Health plans from Providence Health Plan list Constance Pettitt 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 Constance Pettitt was last updated on January 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.