Individual provider Active NPI

Cathy Pettis, DNP, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Greenbrier, AR
National Provider Identifier
1497415277
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
218452 Issued in AR
Practice address
8 S Broadview St., Ste E & F
Greenbrier, AR 72058-9601
Phone
(501) 679-0232
Fax
(833) 373-0348
NPI assigned
Dec 21, 2021
Last updated
Feb 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 218452 AR Primary

Addresses

Primary practice location

8 S Broadview St., Ste E & F
Greenbrier, AR 72058-9601

Mailing address

2720 Center St
Little Rock, AR 72206-3126
Phone (501) 920-3883

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230224002651 AR Practitioner - Nurse Practitioner 1951794411 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Heal Within Counseling and Consulting IncGroup PAC ID 0244648764, 16 clinicians

Practice addresses (Care Compare)

575 A Harkrider St
Conway, AR 72032-5631
Phone (501) 679-0232

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
218452ARMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Heal Within Counseling and Consulting Inc Psychiatric/Mental Health CurrentSince Mar 15, 2023 Accepting new patients

Locations

575 Harkrider St
#A
Conway, AR 72032
Phone (501) 679-0232

220 S Broadview St
Greenbrier, AR 72058
Phone (501) 679-0232

8 S Broadview St
Ste E
Greenbrier, AR 72058
Phone (501) 679-0232

1813 Executive Sq
Jonesboro, AR 72401
Phone (501) 679-0232

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.

NPI Registry JSON

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

{
    "created_epoch": "1640044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738713600000",
    "number": "1497415277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2720 CENTER ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722063126",
            "telephone_number": "501-920-3883",
            "fax_number": "501-916-9449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 S BROADVIEW ST., STE E & F",
            "city": "GREENBRIER",
            "state": "AR",
            "postal_code": "720589601",
            "telephone_number": "501-679-0232",
            "fax_number": "833-373-0348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETTIS",
        "first_name": "CATHY",
        "credential": "DNP, APRN, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-21",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AR",
            "license": "218452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenbrier, AR

Sources for this page

Verify at the official NPI Registry.