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SHAWANDA LYNETTE PETTY
NPI 1942820121
Counselor in Marina, CA

Active since April 17, 2020
601 BAYONET CIR, MARINA, CA 93933(831) 641-3000 Get Directions Write a Review

NPPES record last updated: April 17, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shawanda Lynette Petty NPPES

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

SHAWANDA LYNETTE PETTY (NPI 1942820121) is an individual counselor in Marina, California and active in the NPI registry since April 2020.

NPPES Registry Identity

NPI1942820121
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameSHAWANDA LYNETTE PETTY
Location Address601 BAYONET CIRMarina, CA 93933-4600
Mailing Address604 Pearl StMonterey, CA 93940-3070 · (831) 647-3000
Phone(831) 641-3000
Sole ProprietorNo
Enumeration DateApril 17, 2020
NPPES CertifiedApril 17, 2020
✔ NPI 1942820121 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
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.
601 BAYONET CIR, Marina, CA 93933
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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.

MS. NICOLE MARIE BURKE
Community Health Worker
601 BAYONET CIR
MARINA, CA 93933
Monterey County (831) 647-3000
MS. JENNIFER ELYSE HATCH
Rehabilitation Practitioner
601 BAYONET CIR
MARINA, CA 93933
Monterey County (831) 647-3000
STEPH NOEL REIS
Rehabilitation Practitioner
601 BAYONET CIR
MARINA, CA 93933
Monterey County (831) 647-3000
KENIA LEYVA
Counselor (Mental Health)
601 BAYONET CIR
MARINA, CA 93933
Monterey County (831) 647-3000
MICHAEL ARNOLD
Community Health Worker
601 BAYONET CIR
MARINA, CA 93933
Monterey County (831) 647-3000
ROBERTO MANUEL PEREZ VELASCO
Community Health Worker
601 BAYONET CIR
MARINA, CA 93933
Monterey County (864) 907-4375
ANDREW LOUIS COLE CANDREVA
Counselor (Mental Health)
601 BAYONET CIR
MARINA, CA 93933
Monterey County (831) 647-3000
DOUGLAS ANDERSON RN
Registered Nurse (Psychiatric/Mental Health, Adult)
601 BAYONET CIR
MARINA, CA 93933
Monterey County (831) 647-3000

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 Shawanda Petty's NPI number?

The NPI number for Shawanda Petty is 1942820121. It was assigned to this individual provider in the NPPES registry on April 17, 2020.

Where is Shawanda Petty located?

Shawanda Petty practices at 601 Bayonet Cir, Marina, CA 93933. The listed phone number is (831) 641-3000.

What is Shawanda Petty'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 Shawanda Petty was last updated on April 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.