PETTINGILL COUNSELING SERVICES, PROFESSIONAL CORPORATION
NPI 1891919890
Social Worker - Clinical in Idaho Falls, ID
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
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Pettingill Counseling Services, Professional Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Pettingill Counseling Services, Professional Corporation, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, Professional Corporation's NPI number?
The NPI number for Pettingill Counseling Services, Professional Corporation is 1891919890. It was assigned to this organization in the NPPES registry on April 12, 2007.
Where is Pettingill Counseling Services, Professional Corporation located?
Pettingill Counseling Services, Professional Corporation is located at 1302 E 17th St, Idaho Falls, ID 83404. The listed phone number is (208) 542-9919.
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.
Is Pettingill Counseling Services, Professional Corporation enrolled in Medicare?
Yes. Pettingill Counseling Services, Professional Corporation is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Pettingill Counseling Services, Professional Corporation?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Clinical Social Worker, reassign their Medicare billing to Pettingill Counseling Services, Professional Corporation. A 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 the clinician's services. Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Pettingill Counseling Services, Professional Corporation accept?
Health plans from Molina Healthcare list Pettingill Counseling Services, Professional Corporation as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Pettingill Counseling Services, Professional Corporation was last updated on July 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.
# Pettingill Counseling Services, Professional Corporation · NPI 1891919890
Clinical organization in Idaho Falls, Idaho. Organization record, active in the CMS NPPES registry since April 12, 2007.
## Identity
- **NPI:** 1891919890 (Entity type: Organization)
- **Enumerated:** April 12, 2007
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **Organization subpart:** No
- **Authorized official:** Tamara Pettingill, OWNER
## Practice location
- **Address:** 1302 E 17TH ST, Idaho Falls, ID 83404-6270
- **Phone:** (208) 542-9919 · **Fax:** (208) 542-6272
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians (Clinical Social Worker) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 24, 2026
- **Other identifiers:** Medicaid 806803500 (ID)
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Source: [NPI Profile](https://npiprofile.com/npi/1891919890) · Data from the CMS NPPES public registry.