JAYME PETTIBONE
NPI 1700423878
Counselor - Mental Health in The Dalles, OR

Active since December 07, 2019
1021 W 9TH ST, THE DALLES, OR 97058(541) 298-1920(541) 298-1917 Get Directions Write a Review

NPPES record last updated: June 30, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 30, 2021, Dec 7, 2019 (2 updates tracked since 2019).

About Jayme Pettibone NPPES

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

JAYME PETTIBONE (NPI 1700423878) is an individual mental health provider in The Dalles, Oregon and active in the NPI registry since December 2019.

NPPES Registry Identity

NPI1700423878
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJAYME PETTIBONE
Location Address1021 W 9TH STThe Dalles, OR 97058-1007
Mailing Address3587 Heathrow WayMedford, OR 97504-4004 · (541) 858-8170
Fax(541) 298-1917
Sole ProprietorNo
Enumeration DateDecember 7, 2019
Last NPPES UpdateJune 30, 20212 updates tracked since enumeration
NPPES CertifiedDecember 7, 2019
NPI 1700423878 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1021 W 9TH ST, The Dalles, OR 97058

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)
1021 W 9TH ST
THE DALLES, OR 97058
Counselor (Mental Health)
1021 W 9TH ST
THE DALLES, OR 97058
Counselor (Mental Health)
1021 W 9TH ST
THE DALLES, OR 97058
Counselor (Mental Health)
1021 W 9TH ST
THE DALLES, OR 97058
Counselor (Mental Health)
1021 W 9TH ST
THE DALLES, OR 97058
Counselor (Mental Health)
1021 W 9TH ST
THE DALLES, OR 97058
Counselor (Mental Health)
1021 W 9TH ST
THE DALLES, OR 97058
Counselor (Mental Health)
1021 W 9TH ST
THE DALLES, OR 97058

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 Jayme Pettibone's NPI number?

The NPI number for Jayme Pettibone is 1700423878. It was assigned to this individual provider in the NPPES registry on December 7, 2019.

Where is Jayme Pettibone located?

Jayme Pettibone practices at 1021 W 9th St, The Dalles, OR 97058. The listed phone number is (541) 298-1920.

What is Jayme Pettibone'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 Jayme Pettibone was last updated on June 30, 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.