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PETTINGILL COUNSELING SERVICES, PC
NPI 1811019904
Counselor in Idaho Falls, ID

Active since April 06, 2007
2267 TETON PLZ, IDAHO FALLS, ID 83404(208) 542-9919(208) 542-6272 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pettingill Counseling Services, Pc NPPES

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

PETTINGILL COUNSELING SERVICES, PC (NPI 1811019904) is a healthcare organization registered as a counselor in Idaho Falls, Idaho and active in the NPI registry since April 2007. The organization lists Tamara K. Pettingill, Owner, as its authorized official.

NPPES Registry Identity

NPI1811019904
Entity TypeOrganization
Primary Taxonomy101Y00000X
Legal Business NamePETTINGILL COUNSELING SERVICES, PC
Location Address2267 TETON PLZIdaho Falls, ID 83404-6486
Mailing Address2267 Teton PlzIdaho Falls, ID 83404-6486 · (208) 542-9919 · Fax (208) 542-6272
Phone(208) 542-9919
Fax(208) 542-6272
Organization SubpartNo
Authorized OfficialTamara K. PettingillOwner · (208) 542-9919
Enumeration DateApril 6, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1811019904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in ID · LCSW-24477
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
2267 TETON PLZ, Idaho Falls, ID 83404
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.

HUMAN DYNAMICS AND DIAGNOSTICS
Community/Behavioral Health
2267 TETON PLZ
IDAHO FALLS, ID 83404
Bonneville County (208) 524-4953
KIMBERLI A BUER LCSW
Social Worker (Clinical)
2267 TETON PLZ
IDAHO FALLS, ID 83404
Bonneville County (208) 522-0140
HUMAN DYNAMICS AND DIAGNOSTICS
Community/Behavioral Health
2267 TETON PLZ
IDAHO FALLS, ID 83404
Bonneville County (208) 524-4953
TASHA RIEDELBACH
Social Worker (Clinical)
2267 TETON PLZ
IDAHO FALLS, ID 83404
Bonneville County (208) 339-4715
HUMAN DYNAMICS AND DIAGNOSTICS
Community/Behavioral Health
2267 TETON PLZ
IDAHO FALLS, ID 83404
Bonneville County (208) 524-4953
MISS EMILY RICKS SMITH LCSW-34678
Social Worker (Clinical)
2267 TETON PLZ
IDAHO FALLS, ID 83404
Bonneville County (208) 529-1660
OLIVIA JENSEN LMSW
Social Worker
2267 TETON PLZ
IDAHO FALLS, ID 83404
Bonneville County (208) 522-0140
KATHRYN DAVIS
Counselor (Mental Health)
2267 TETON PLZ
IDAHO FALLS, ID 83404
Bonneville County (208) 522-0140

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 Pettingill Counseling Services, PC's NPI number?

The NPI number for Pettingill Counseling Services, PC is 1811019904. It was assigned to this organization in the NPPES registry on April 6, 2007.

Where is Pettingill Counseling Services, PC located?

Pettingill Counseling Services, PC is located at 2267 Teton Plz, Idaho Falls, ID 83404. The listed phone number is (208) 542-9919.

What is Pettingill Counseling Services, PC's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Pettingill Counseling Services, PC was last updated on August 22, 2020. 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.