Active NPI
Tina Michelle Pettigrew, LPC
- Professional Counselor
- Swissvale, PA
National Provider Identifier
1376109199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC017782
- Practice address
- 1903 Columbia Ave Unit 1F
Swissvale, PA 15218-1901 - Phone
- (412) 822-6190
- NPI assigned
- May 16, 2019
- Last updated
- Jan 2, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC017782 | PA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tina Michelle Pettigrew | Mental Health | Current | 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.
-
- Mental Health Counselor
- Swissvale, PA
- NPI 1154276673
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Pittsburgh, PA
- NPI 1215003447
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.