Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

AYANNA PETTAWAY LMHC
NPI 1790450757
Counselor - Mental Health in New York, NY

Active since August 11, 2021
220 5TH AVE FL 11, NEW YORK, NY 10001(631) 623-0174 Get Directions Write a Review

NPPES record last updated: July 14, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 14, 2026, Aug 11, 2021 (2 updates tracked since 2021).

About Ayanna Pettaway Lmhc NPPES

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

AYANNA PETTAWAY LMHC (NPI 1790450757) is an individual mental health provider in New York, New York, licensed in New York (008303) and active in the NPI registry since August 2021.

NPPES Registry Identity

NPI1790450757
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameAYANNA PETTAWAYCredential: LMHC
Location Address220 5TH AVE FL 11New York, NY 10001-8017
Mailing Address350 Northern Blvd Ste 324-1384Albany, NY 12204-1000 · (631) 623-0174
Sole ProprietorNo
Enumeration DateAugust 11, 2021
Last NPPES UpdateJuly 14, 20262 updates tracked since enumeration
NPPES CertifiedJuly 14, 2026
NPI 1790450757 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 · 008303
220 5TH AVE FL 11, New York, NY 10001

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.

Social Worker
220 5TH AVE FL 11
NEW YORK, NY 10001
Social Worker (Clinical)
220 5TH AVE FL 11
NEW YORK, NY 10001
Social Worker (Clinical)
220 5TH AVE FL 11
NEW YORK, NY 10001
Social Worker (Clinical)
220 5TH AVE FL 11
NEW YORK, NY 10001
Psychiatry & Neurology (Psychiatry)
220 5TH AVE FL 11
NEW YORK, NY 10001
Dietitian, Registered
220 5TH AVE FL 11
NEW YORK, NY 10001
Dietitian, Registered
220 5TH AVE FL 11
NEW YORK, NY 10001
Psychiatry & Neurology (Psychiatry)
220 5TH AVE FL 11
NEW YORK, NY 10001

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 Ayanna Pettaway's NPI number?

The NPI number for Ayanna Pettaway is 1790450757. It was assigned to this individual provider in the NPPES registry on August 11, 2021.

Where is Ayanna Pettaway located?

Ayanna Pettaway practices at 220 5th Ave Fl 11, New York, NY 10001. The listed phone number is (631) 623-0174.

What is Ayanna 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 Ayanna Pettaway was last updated on July 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days 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.