MATTHEW JARVIS PETTIT MFT
NPI 1871745117
Marriage & Family Therapist in Grand Jct, CO

Active since October 17, 2008PECOS Enrolled
1801 I 70 BUSINESS LOOP STE B5, GRAND JCT, CO 81501(970) 245-3212(970) 245-3216 Get Directions Write a Review

NPPES record last updated: November 17, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Matthew Jarvis Pettit Mft NPPES

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

MATTHEW JARVIS PETTIT MFT (NPI 1871745117) is an individual marriage & family therapist in Grand Jct, Colorado, licensed in Colorado (980) and active in the NPI registry since October 2008. He is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1871745117
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameMATTHEW JARVIS PETTITCredential: MFT
Location Address1801 I 70 BUSINESS LOOP STE B5Grand Jct, CO 81501-8002
Mailing AddressPo Box 23360Glade Park, CO 81523-0360 · (970) 623-4281 · Fax (970) 245-3216
Fax(970) 245-3216
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateOctober 17, 2008
Last NPPES UpdateNovember 17, 2023
NPPES CertifiedNovember 17, 2023
✔ NPI 1871745117 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
Licenses✔ Licensed in CO · 980✔ Licensed in UT · 5696849-3902
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
1801 I 70 BUSINESS LOOP STE B5, Grand Jct, CO 81501

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Matthew Jarvis Pettit Mft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6406398841
PECOS Enrollment IDI20240614002453
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.

Medicare Billing Reassignment

Medicare enrollment records show Matthew Pettit reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Marriage & Family Therapist
518 28 RD, A207
Grand Junction, CO 81501
  • Reassigned Medicare billing, Colorado enrollment

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 4

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

Counselor (Professional)
1801 I 70 BUSINESS LOOP STE B5
GRAND JCT, CO 81501
Psychologist (Clinical)
1801 I 70 BUSINESS LOOP STE B5
GRAND JCT, CO 81501
Marriage & Family Therapist
1801 I 70 BUSINESS LOOP STE B5
GRAND JCT, CO 81501
Marriage & Family Therapist
1801 I 70 BUSINESS LOOP STE B5
GRAND JCT, CO 81501

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 Matthew Pettit's NPI number?

The NPI number for Matthew Pettit is 1871745117. It was assigned to this individual provider in the NPPES registry on October 17, 2008.

Where is Matthew Pettit located?

Matthew Pettit practices at 1801 I 70 Business Loop Ste B5, Grand Jct, CO 81501. The listed phone number is (970) 245-3212.

What is Matthew Pettit's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Matthew Pettit enrolled in Medicare?

Yes. Matthew Pettit is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Matthew Pettit's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Pettit reassigns Medicare benefits to Deep Rivers Family Counseling Inc (Grand Junction, CO). 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 Matthew Pettit'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 Matthew Pettit was last updated on November 17, 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.