Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

EBONY PETTIGREW
NPI 1669341871
Counselor in Jackson, TN

Active since November 04, 2025
39 MURRAY GUARD DR, JACKSON, TN 38305(731) 736-4400 Get Directions Write a Review

NPPES record last updated: July 20, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 20, 2026, Nov 4, 2025 (2 updates tracked since 2025).

About Ebony Pettigrew NPPES

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

EBONY PETTIGREW (NPI 1669341871) is an individual counselor in Jackson, Tennessee and active in the NPI registry since November 2025.

NPPES Registry Identity

NPI1669341871
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameEBONY PETTIGREW
Location Address39 MURRAY GUARD DRJackson, TN 38305-3610
Mailing Address39 Murray Guard DrJackson, TN 38305-3610 · (731) 736-4400
Sole ProprietorNo
Enumeration DateNovember 4, 2025
Last NPPES UpdateJuly 20, 20262 updates tracked since enumeration
NPPES CertifiedJuly 20, 2026
NPI 1669341871 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
39 MURRAY GUARD DR, Jackson, TN 38305

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 (Mental Health)
39 MURRAY GUARD DR
JACKSON, TN 38305
Social Worker
39 MURRAY GUARD DR
JACKSON, TN 38305
Counselor (Mental Health)
39 MURRAY GUARD DR
JACKSON, TN 38305
Counselor (Mental Health)
39 MURRAY GUARD DR
JACKSON, TN 38305
Counselor (Mental Health)
39 MURRAY GUARD DR
JACKSON, TN 38305
Counselor (Mental Health)
39 MURRAY GUARD DR
JACKSON, TN 38305
Counselor (Professional)
39 MURRAY GUARD DR
JACKSON, TN 38305
Social Worker
39 MURRAY GUARD DR
JACKSON, TN 38305

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 Ebony Pettigrew's NPI number?

The NPI number for Ebony Pettigrew is 1669341871. It was assigned to this individual provider in the NPPES registry on November 4, 2025.

Where is Ebony Pettigrew located?

Ebony Pettigrew practices at 39 Murray Guard Dr, Jackson, TN 38305. The listed phone number is (731) 736-4400.

What is Ebony Pettigrew's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Ebony Pettigrew was last updated on July 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days 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.