Active NPI
Christe Hester Pettis, M.A., CCC-SLP
- Speech-Language Pathologist
- Lake Charles, LA
National Provider Identifier
1124254578
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 3960
- Practice address
- 2016 Evelyn St
Lake Charles, LA 70601-6548 - Phone
- (337) 433-1419
- NPI assigned
- May 29, 2009
- Last updated
- Jan 10, 2025
- 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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 3960 | LA | Primary |
Addresses
Primary practice location
2016 Evelyn St
Lake Charles, LA 70601-6548
Mailing address
127 Williamsburg St BLDG E
Lake Charles, LA 70605-5719
Phone (337) 376-0136
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3960 | LA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mental Connections of Southwest LLC | Current | Accepting new patients |
Locations
127 Williamsburg St
Bldg E
Lake Charles, LA 70605
Phone (337) 376-0136
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Counselor
- Lake Charles, LA
- NPI 1508301037
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736467200000",
"number": "1124254578",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "127 WILLIAMSBURG ST BLDG E",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706055719",
"telephone_number": "337-376-0136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2016 EVELYN ST",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706016548",
"telephone_number": "337-433-1419"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETTIS",
"first_name": "CHRISTE",
"middle_name": "HESTER",
"name_prefix": "Mrs.",
"credential": "M.A., CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-05-29",
"last_updated": "2025-01-10",
"certification_date": "2025-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "LA",
"license": "3960",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Charles, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.