Individual provider Active NPI

Tina Michelle Pettigrew, LPC

  • Professional Counselor
  • Swissvale, PA
National Provider Identifier
1376109199
Registry record updated Jan 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC017782 Issued in PA
Practice address
1903 Columbia Ave Unit 1F
Swissvale, PA 15218-1901
Phone
(412) 822-6190
NPI assigned
May 16, 2019
Last updated
Jan 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC017782 PA Primary
Mental Health Counselor 101YM0800X

Addresses

Primary practice location

1903 Columbia Ave Unit 1F
Swissvale, PA 15218-1901

Mailing address

5731 Centre Ave Apt 9
Pittsburgh, PA 15206-3751
Phone (412) 822-6190

Other practice location 1

5301 Butler St Ste 100
Pittsburgh, PA 15201-2658
Phone (412) 441-9786

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250331000524 PA Practitioner - Mental Health Counselor 4486177599 Reassigns benefits to 1 organization
Practice locations: Swissvale, PA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PC017782PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Tina Michelle Pettigrew Mental Health CurrentSince Sep 8, 2025 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1557964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767312000000",
    "number": "1376109199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5731 CENTRE AVE APT 9",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152063751",
            "telephone_number": "412-822-6190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1903 COLUMBIA AVE UNIT 1F",
            "city": "SWISSVALE",
            "state": "PA",
            "postal_code": "152181901",
            "telephone_number": "412-822-6190"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5301 Butler St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152012658",
            "country_code": "US",
            "telephone_number": "412-441-9786",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETTIGREW",
        "first_name": "TINA",
        "middle_name": "MICHELLE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-16",
        "last_updated": "2026-01-02",
        "certification_date": "2026-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC017782",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Swissvale, PA

Sources for this page

Verify at the official NPI Registry.