Tina Yvonne Pettiford, LPC
NPI 1366711939ActiveIndividual· Counselor, Professional· East Saint Louis, IL
Counselor, Professional (LPC) in East Saint Louis, Illinois, licensed in IL, with an NPI issued in December 2011.
Overview
| NPI | 1366711939 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LPC |
| Sole proprietor | No |
| NPI issued | Dec 27, 2011 |
| Last updated in NPPES | Dec 27, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | 178.006219 | IL |
| Counselor | 101Y00000X | 178.006219 | IL |
| Counselor, Mental Health | 101YM0800X | 178.006219 | IL |
| Counselor, School | 101YS0200X | 2341716 | IL |
| Marriage & Family Therapist | 106H00000X | 178.006219 | IL |
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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