DR. JAMIE RAY PETTIT ED.D LPC - MHSP NPI 1003371667

NPI Information

  • NPI: 1003371667
  • Provider Name: DR. JAMIE RAY PETTIT, ED.D LPC - MHSP
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 6630 SUMMER KNOLL CIR
    BARTLETT, TN
    ZIP 38134
  • Phone: (901) 746-9438

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NPI Details

DR. Jamie Ray Pettit, ED.D LPC - MHSP is a mental health counselor in Bartlett, TN. DR. Jamie Ray Pettit, ED.D LPC - MHSP NPI is 1003371667. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6630 SUMMER KNOLL CIR
BARTLETT, TN
ZIP 38134-875
Phone: (901) 746-9438
Fax: (901) 746-9331

The NPI 1003371667 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 2/7/2019 and was last updated on 3/20/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental Health2300TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100002300OTHERTENNESSEELPC NUMBER
2Q051103MEDICAIDTENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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