PETTINGILL COUNSELING SERVICES, PROFESSIONAL CORPORATION - NPI 1891919890

Q: What is Pettingill Counseling Services, Professional Corporation's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

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About Pettingill Counseling Services, Professional Corporation NPPES

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

PETTINGILL COUNSELING SERVICES, PROFESSIONAL CORPORATION (NPI 1891919890) is a healthcare organization registered as a clinical 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

NPI1891919890

Entity TypeOrganization

Primary Taxonomy1041C0700X

Legal Business NamePETTINGILL COUNSELING SERVICES, PROFESSIONAL CORPORATION

Location Address1302 E 17TH STIdaho Falls, ID 83404-6270

Mailing Address1302 E 17th StIdaho Falls, ID 83404-6270 · (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 12, 2007

Last NPPES UpdateJuly 24, 20264 updates tracked since enumeration

NPPES CertifiedJuly 24, 2026

✔ NPI 1891919890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

1302 E 17TH ST, Idaho Falls, ID 83404

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Other Identifiers 1

Medicaid806803500ID

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 6

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

AHNA RACHAEL HATCH

Counselor (Mental Health)