SARAH PETTENGILL MA, MFTI
NPI 1770911836
Counselor - Mental Health in Menifee, CA
About Sarah Pettengill Ma, Mfti NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SARAH PETTENGILL MA, MFTI (NPI 1770911836) is an individual mental health provider in Menifee, California, licensed in California (IMF82747) and active in the NPI registry since October 2013. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Sarah Pettengill Ma, Mfti is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Sarah Pettengill reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Santa Clara, CA 95054
- Reassigned Medicare billing, California enrollment
- 1,607 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Sarah Pettengill's NPI number?
The NPI number for Sarah Pettengill is 1770911836. It was assigned to this individual provider in the NPPES registry on October 28, 2013.
Where is Sarah Pettengill located?
Sarah Pettengill practices at 27851 Bradley Rd Suite 111, Menifee, CA 92586. The listed phone number is (208) 891-2134.
What is Sarah Pettengill's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Sarah Pettengill enrolled in Medicare?
Yes. Sarah Pettengill is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Sarah Pettengill's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sarah Pettengill reassigns Medicare benefits to Sud Specialty Group - Ca (Santa Clara, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sarah Pettengill's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Sarah Pettengill was last updated on January 23, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Sarah Pettengill, MA, MFTI · NPI 1770911836
Mental Health provider in Menifee, California. Individual provider, active in the CMS NPPES registry since October 28, 2013.
## Identity
- **NPI:** 1770911836 (Entity type: Individual)
- **Enumerated:** October 28, 2013
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** IMF82747 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 27851 BRADLEY RD, SUITE 111, Menifee, CA 92586-2286
- **Phone:** (208) 891-2134
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Sud Specialty Group - Ca (NPI 1972138238, Santa Clara, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 23, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1770911836) · Data from the CMS NPPES public registry.