Tenisha Pettus, MS, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MT4181 Issued in FL

Practice address

1533 Sunset Dr Ste 225
Coral Gables, FL 33143-5700

Phone

(786) 733-6422

NPI assigned

Feb 11, 2020

Last updated

Dec 21, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1581379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703116800000",
    "number": "1376175026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9721 NW 3RD ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246207",
            "telephone_number": "786-300-6778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1533 SUNSET DR STE 225",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331435700",
            "telephone_number": "786-733-6422"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "417 Commercial Ct Ste C",
            "address_purpose": "LOCATION",
            "city": "Sarasota",
            "state": "FL",
            "postal_code": "34292",
            "country_code": "US",
            "telephone_number": "786-300-6778",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETTUS",
        "first_name": "TENISHA",
        "credential": "MS, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-11",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT4181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul E Perito, MD
• Ceanna Perkins, MD
• Katrina Perry
• Petit Smiles, LLC
• Janelle Lynn Pettit, RBT
• Lashaunda Pham
• Physiatry Phirst LLC
• Physical Therapy and Wellness Center
• Physician Choice Home Health Agency Inc
• Physician Partners of South Florida, LLC

• Marriage & Family Therapist in Coral Gables, FL
• Providers in Coral Gables, FL by specialty
• Marriage & Family Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2023; 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.

Verify at the official NPI Registry.