PETTINGILL COUNSELING PC NPI 1770365827

NPI Information

  • NPI: 1770365827
  • Provider Name: PETTINGILL COUNSELING PC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Address: 1302 E 17TH ST
    IDAHO FALLS, ID
    ZIP 83404
  • Phone: (208) 542-9919

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NPI Details

PETTINGILL COUNSELING PC is a mental health counselor in Idaho Falls, ID. PETTINGILL COUNSELING PC NPI is 1770365827. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1302 E 17TH ST
IDAHO FALLS, ID
ZIP 83404-270
Phone: (208) 542-9919
Fax: (208) 542-6272

The provider's authorized official is Tamara Pettingill .
The authorized official title is Owner and has the following contact phone number (208) 227-4600.

The enumeration date for this NPI number is 10/13/2023 and was last updated on 10/13/2023.

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 HealthYes

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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