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ASHANTI MINKAH PETTAWAY
NPI 1710729033
Counselor - Mental Health in Chicago, IL

Active since June 07, 2024
1147 W OHIO ST, CHICAGO, IL 60642(312) 772-9796(312) 561-6974 Get Directions Write a Review

NPPES record last updated: June 7, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ashanti Minkah Pettaway NPPES

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

ASHANTI MINKAH PETTAWAY (NPI 1710729033) is an individual mental health provider in Chicago, Illinois and active in the NPI registry since June 2024.

NPPES Registry Identity

NPI1710729033
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameASHANTI MINKAH PETTAWAY
Location Address1147 W OHIO STChicago, IL 60642-6472
Mailing Address1631 W 102nd StChicago, IL 60643-2144 · (678) 362-8079
Phone(312) 772-9796
Fax(312) 561-6974
Sole ProprietorNo
Enumeration DateJune 7, 2024
NPPES CertifiedJune 7, 2024
✔ NPI 1710729033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1147 W OHIO ST, Chicago, IL 60642
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Other Providers at the Same Location NPPES 9

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

AMANDA BRANDIMORE
Counselor (Mental Health)
1147 W OHIO ST
CHICAGO, IL 60642
Cook County (312) 772-9796
HADELEY MCCRATE OVERAKER
Social Worker (Clinical)
1147 W OHIO ST
CHICAGO, IL 60642
Cook County (312) 772-9796
BRENNA MARIE ZIMMERMAN LPC
Counselor (Mental Health)
1147 W OHIO ST
CHICAGO, IL 60642
Cook County (979) 631-2772
KELLY WARREN LPC, ALMFT
Counselor (Professional)
1147 W OHIO ST
CHICAGO, IL 60642
Cook County (312) 772-9796
MRS. ROSABEL SANCHEZ
Counselor (Mental Health)
1147 W OHIO ST
CHICAGO, IL 60642
Cook County (773) 772-9796
EMILIE LAHM
Counselor (Mental Health)
1147 W OHIO ST
CHICAGO, IL 60642
Cook County (312) 772-9796
MISS MARGARET WHITLEY LEVAUGHN
Counselor (Mental Health)
1147 W OHIO ST
CHICAGO, IL 60642
Cook County (312) 772-9796
MARIAH KELTY MA, NCC
Counselor (Mental Health)
1147 W OHIO ST
CHICAGO, IL 60642
Cook County (312) 772-9796

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 Ashanti Pettaway's NPI number?

The NPI number for Ashanti Pettaway is 1710729033. It was assigned to this individual provider in the NPPES registry on June 7, 2024.

Where is Ashanti Pettaway located?

Ashanti Pettaway practices at 1147 W Ohio St, Chicago, IL 60642. The listed phone number is (312) 772-9796.

What is Ashanti Pettaway'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 Ashanti Pettaway was last updated on June 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.