MR. THOMAS BERNARD PETTUS LLPC, LBS.W.
NPI 1861503112
Counselor in Southfield, MI

Q: What is Thomas Pettus's NPI number?

The NPI number for Thomas Pettus is 1861503112. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Q: What is Thomas Pettus's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Thomas Pettus was last updated on June 25, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since August 31, 2006

25153 LINDENWOOD LN, SOUTHFIELD, MI 48033(313) 702-1459 Get Directions Write a Review

NPPES record last updated: June 25, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mr. Thomas Bernard Pettus Llpc, Lbs.w. NPPES

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

MR. THOMAS BERNARD PETTUS LLPC, LBS.W. (NPI 1861503112) is an individual counselor in Southfield, Michigan, licensed in Michigan (6401008172) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1861503112

Entity TypeIndividualMale

Primary Taxonomy101Y00000X

Provider Legal NameMR. THOMAS BERNARD PETTUSCredential: LLPC, LBS.W.

Location Address25153 LINDENWOOD LNSouthfield, MI 48033-6189

Mailing Address25153 Lindenwood LnSouthfield, MI 48033-6189 · (313) 702-1459

Phone(313) 702-1459

Sole ProprietorYes

Enumeration DateAugust 31, 2006

Last NPPES UpdateJune 25, 2014

✔ NPI 1861503112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in MI · 6401008172

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.

Also ListedSocial WorkerTaxonomy 104100000X · License 6802061866 (MI)

25153 LINDENWOOD LN, Southfield, MI 48033

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Other Identifiers 2

Other6401008172MI · St Of Mi-counseling License

Other6801061866MI · State License

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 Thomas Pettus's NPI number?

The NPI number for Thomas Pettus is 1861503112. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Thomas Pettus located?

Thomas Pettus practices at 25153 Lindenwood Ln, Southfield, MI 48033. The listed phone number is (313) 702-1459.

What is Thomas Pettus'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 Thomas Pettus was last updated on June 25, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.