JENNA NICOLE PETTIT NPI 1427778661

NPI Information

  • NPI: 1427778661
  • Provider Name: JENNA NICOLE PETTIT
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • Address: 1260 MORENA BLVD STE 100
    SAN DIEGO, CA
    ZIP 92110
  • Phone: (619) 275-0822

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NPI Details

Jenna Nicole Pettit is a professional counselor in San Diego, CA. Jenna Nicole Pettit NPI is 1427778661. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1260 MORENA BLVD STE 100
SAN DIEGO, CA
ZIP 92110-850
Phone: (619) 275-0822

The enumeration date for this NPI number is 8/29/2022 and was last updated on 1/18/2024.

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
1106H00000XMarriage & Family Therapist143662CALIFORNIANo
2171M00000XCase Manager/Care CoordinatorNo
3390200000XStudent in an Organized Health Care Education/Training ProgramNo
4101YP2500XCounselorProfessional15425CALIFORNIAYes

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: 11/21/2025

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