John Pettingill, LPC is a
Counselor based in Prescot Valley, Arizona. John Pettingill is licensed to practice in Arizona (license number LAC-15212) and his current practice location is
3212 N. Windsong Drive, Ste 200, Prescot Valley, Arizona. He can be reached at his office (for appointments etc.) via phone at
(928) 583-1000.
NPI number for John Pettingill is 1851945620 and his current mailing address is 3295 S Rancho Place, Humboldt, Arizona. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1851945620.
Healthcare Provider's Profile
| Full Name | John Pettingill |
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| Gender | Male |
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| Speciality | Counselor |
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| Location | 3212 N. Windsong Drive, Prescot Valley, Arizona |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1851945620
- Provider Enumeration Date: 07/30/2019
- Last Update Date: 07/30/2019
Medical Identifiers
Medical identifiers for John Pettingill such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1851945620 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP2500X | Counselor - Professional | LPC-15212 (Arizona) | Secondary |
| 101Y00000X | Counselor | LAC-15212 (Arizona) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. John Pettingill is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
John Pettingill, LPC
3295 S Rancho Place,
Humboldt, AZ 86329
Ph: (480) 586-5490 | John Pettingill, LPC
3212 N. Windsong Drive, Ste 200,
Prescot Valley, AZ 86314
Ph: (928) 583-1000 |
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