Pettingill Counseling Services, Professional Corporation
NPI 1194847285ActiveOrganization· Social Worker, Clinical· Idaho Falls, ID
Social Worker, Clinical in Idaho Falls, Idaho, registered in NPPES in April 2007, part of Pettingill Counseling Services, PC. The authorized official on file is Tamara Pettingill, Owner.
Overview
| NPI | 1194847285 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Pettingill Counseling Services, PC |
| NPI issued | Apr 6, 2007 |
| Last updated in NPPES | Oct 21, 2026 |
| Certified by provider | Oct 21, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | LCSW-24477 | ID |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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