Active NPI
Tamara Fields Pettit, MS, LMFT
- Marriage & Family Therapist
- Ormond Beach, FL
National Provider Identifier
1114847175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MT5534
- Practice address
- 100 E Granada Blvd Ste 103
Ormond Beach, FL 32176-6660 - Phone
- (386) 999-1989
- NPI assigned
- Jul 20, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MT5534 | FL | Primary |
Addresses
Primary practice location
100 E Granada Blvd Ste 103
Ormond Beach, FL 32176-6660
Mailing address
100 E Granada Blvd Ste 103
Ormond Beach, FL 32176-6660
Phone (386) 999-1989
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tamara Pettit, LLC | Mental Health | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1784505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785888000000",
"number": "1114847175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 E GRANADA BLVD STE 103",
"city": "ORMOND BEACH",
"state": "FL",
"postal_code": "321766660",
"telephone_number": "386-999-1989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 E GRANADA BLVD STE 103",
"city": "ORMOND BEACH",
"state": "FL",
"postal_code": "321766660",
"telephone_number": "386-999-1989"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETTIT",
"first_name": "TAMARA",
"middle_name": "FIELDS",
"credential": "MS, LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-07-20",
"last_updated": "2026-08-05",
"certification_date": "2026-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "FL",
"license": "MT5534",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ormond Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.