Katumu Frances Pettiquoi, M.ED

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LC1940 Issued in MD

Practice address

1010 Montrose Ave
Laurel, MD 20707-3850

Phone

(301) 613-6333

NPI assigned

Aug 6, 2008

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

Enrolled in DC, MD2 enrollments

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 2

Specialty

Mental Health Counselor

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Columbia Associates in Psychiatry PCGroup PAC ID 7113165739, 127 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Education

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Columbia Associates in Psychiatry PC

  • Psychiatry Physician
  • Arlington, VA
  • NPI 1699012930

  DC, MD, Mental Health

  Medicare reassignment Care Compare group NPD
• KP Optimum Care Behavioral Services

  • Community/Behavioral Health Agency
  • Laurel, MD
  • NPI 1861081002
  NPD Authorized official

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

{
    "created_epoch": "1217980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217980800000",
    "number": "1508022831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 MONTROSE AVE",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207073850",
            "telephone_number": "301-613-6333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 MONTROSE AVE",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207073850",
            "telephone_number": "301-613-6333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETTIQUOI",
        "first_name": "KATUMU",
        "middle_name": "FRANCES",
        "credential": "M.ED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-06",
        "last_updated": "2008-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC1940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monique Pertee, OT
• Molly Rose Peterschmidt, PA-C
• Danielle Peterson, BCABA
• Lisa Ann Peterson, LCSW-C
• Cynthia D Petit, MSN, FNP-C
• Lauren Annick Pettyjohn-Robin
• Ryan Peyton
• Pearl Elizabeth Pfuhl, PH.D.
• PGHC Anesthesia Associates
• Thuy-Loan Phan

• Mental Health Counselor in Laurel, MD
• Providers in Laurel, MD by specialty
• Mental Health Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2008; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.