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GRACE PETTUS
NPI 1689542425
Counselor - Mental Health in Middletown, NY

Active since October 24, 2025
15 FORTUNE RD W, MIDDLETOWN, NY 10941(188) 875-0226 Get Directions Write a Review

NPPES record last updated: October 24, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Grace Pettus NPPES

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

GRACE PETTUS (NPI 1689542425) is an individual mental health provider in Middletown, New York, licensed in New York (P139398) and active in the NPI registry since October 2025.

NPPES Registry Identity

NPI1689542425
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameGRACE PETTUS
Location Address15 FORTUNE RD WMiddletown, NY 10941-1625
Mailing Address15 Fortune Rd WMiddletown, NY 10941-1625
Phone(188) 875-0226
Sole ProprietorYes
Enumeration DateOctober 24, 2025
NPPES CertifiedOctober 24, 2025
✔ NPI 1689542425 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 NY · P139398
15 FORTUNE RD W, Middletown, NY 10941
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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.

CHRISTINE MARGARET MACKAY RN
Registered Nurse (Psychiatric/Mental Health)
15 FORTUNE RD W
MIDDLETOWN, NY 10941
Orange County (888) 750-2266
KELLY ZEPF LCSW
Social Worker
15 FORTUNE RD W
MIDDLETOWN, NY 10941
Orange County (845) 692-4454
CHERYL PROVENCHER LPN
Licensed Practical Nurse
15 FORTUNE RD W
MIDDLETOWN, NY 10941
Orange County (518) 477-0156
PATRICIA ANELLO RN
Registered Nurse
15 FORTUNE RD W
MIDDLETOWN, NY 10941
Orange County (914) 456-4104
MS. PATRICIA MARIE MOORE LMSW, CASAC2
Counselor (Addiction (Substance Use Disorder))
15 FORTUNE RD W
MIDDLETOWN, NY 10941
Orange County (888) 750-2266
MS. SANDRA MCCATHY
Counselor (Mental Health)
15 FORTUNE RD W
MIDDLETOWN, NY 10941
Orange County (845) 750-2266
DAVID NEELAND GOODLIFE LPN
Licensed Practical Nurse
15 FORTUNE RD W
MIDDLETOWN, NY 10941
Orange County (888) 750-2266
ANTHONY MEZZIO
Social Worker
15 FORTUNE RD W
MIDDLETOWN, NY 10941
Orange County (888) 750-2266

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 Grace Pettus's NPI number?

The NPI number for Grace Pettus is 1689542425. It was assigned to this individual provider in the NPPES registry on October 24, 2025.

Where is Grace Pettus located?

Grace Pettus practices at 15 Fortune Rd W, Middletown, NY 10941. The listed phone number is (188) 875-0226.

What is Grace Pettus'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 Grace Pettus was last updated on October 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.