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KATHERINE R PETTAWAY
NPI 1669143020
Counselor - Mental Health in Durham, NC

Active since September 25, 2021
824 HORTON RD, DURHAM, NC 27704(919) 943-8071 Get Directions Write a Review

NPPES record last updated: May 15, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 15, 2023, Sep 25, 2021 (2 updates tracked since 2021).

About Katherine R Pettaway NPPES

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

KATHERINE R PETTAWAY (NPI 1669143020) is an individual mental health provider in Durham, North Carolina, licensed in North Carolina (A16426) and active in the NPI registry since September 2021. She maintains a secondary practice location in Durham.

NPPES Registry Identity

NPI1669143020
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKATHERINE R PETTAWAY
Location Address824 HORTON RDDurham, NC 27704-1748
Mailing Address824 Horton RdDurham, NC 27704-1748 · (919) 943-8071
Phone(919) 943-8071
Sole ProprietorYes
Enumeration DateSeptember 25, 2021
Last NPPES UpdateMay 15, 20232 updates tracked since enumeration
NPPES CertifiedNovember 6, 2021
✔ NPI 1669143020 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 NC · A16426
824 HORTON RD, Durham, NC 27704
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Secondary Practice Location 1

Location 13310 Croasdaile Dr Ste 301Durham, NC 27705-6806 · Phone (919) 812-3172

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc, UnitedHealthcare.Insurance ›

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 Katherine Pettaway's NPI number?

The NPI number for Katherine Pettaway is 1669143020. It was assigned to this individual provider in the NPPES registry on September 25, 2021.

Where is Katherine Pettaway located?

Katherine Pettaway practices at 824 Horton Rd, Durham, NC 27704. The listed phone number is (919) 943-8071.

What is Katherine Pettaway's specialty?

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

What insurance does Katherine Pettaway accept?

Health plans from Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Katherine Pettaway 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 Katherine Pettaway was last updated on May 15, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.