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SEQOUIA JABRE PETTIGREW
NPI 1730859869
Counselor - Professional in Winston Salem, NC

Active since September 20, 2021PECOS EnrolledAccepts Medicare Assignment
2150 COUNTRY CLUB RD STE 228, WINSTON SALEM, NC 27104(855) 284-7483(617) 807-0958 Get Directions Write a Review

NPPES record last updated: November 13, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 13, 2023, Sep 20, 2021 (2 updates tracked since 2021).

About Seqouia Jabre Pettigrew NPPES

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

SEQOUIA JABRE PETTIGREW (NPI 1730859869) is an individual professional provider in Winston Salem, North Carolina, licensed in Virginia (0701012849) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1730859869
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSEQOUIA JABRE PETTIGREW
Location Address2150 COUNTRY CLUB RD STE 228Winston Salem, NC 27104-4241
Mailing Address1000 Jefferson St Ste 2cLynchburg, VA 24504-1724 · (855) 284-7483 · Fax (617) 807-0958
Phone(855) 284-7483
Fax(617) 807-0958
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateSeptember 20, 2021
Last NPPES UpdateNovember 13, 20232 updates tracked since enumeration
NPPES CertifiedNovember 13, 2023
✔ NPI 1730859869 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in VA · 0701012849
2150 COUNTRY CLUB RD STE 228, Winston Salem, NC 27104
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Seqouia Jabre Pettigrew is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8921543075
PECOS Enrollment IDI20240712001511
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 2

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

MRS. AEREIL MOORE MS, LCMHC
Counselor (Professional)
2150 COUNTRY CLUB RD STE 228
WINSTON SALEM, NC 27104
Forsyth County (336) 203-8855
TRENT EDWARDS
Counselor (Mental Health)
2150 COUNTRY CLUB RD STE 228
WINSTON SALEM, NC 27104
Forsyth County (855) 675-4144

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 Seqouia Pettigrew's NPI number?

The NPI number for Seqouia Pettigrew is 1730859869. It was assigned to this individual provider in the NPPES registry on September 20, 2021.

Where is Seqouia Pettigrew located?

Seqouia Pettigrew practices at 2150 Country Club Rd Ste 228, Winston Salem, NC 27104. The listed phone number is (855) 284-7483.

What is Seqouia Pettigrew's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Seqouia Pettigrew enrolled in Medicare?

Yes. Seqouia Pettigrew is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Seqouia Pettigrew accept?

Health plans from CareSource list Seqouia Pettigrew 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 Seqouia Pettigrew was last updated on November 13, 2023. 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.