Linda E Pettit, BA, CLN II

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

RC00029879 Issued in WA

Practice address

1100 S 2ND St
Mount Vernon, WA 98273-4209

Phone

(360) 419-3546

Fax

(360) 419-3505

NPI assigned

Aug 25, 2006

Sex

Female

Sole proprietor

No

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

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts

State licenses

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508974122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 N 9TH ST APT 1",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982732419",
            "telephone_number": "360-428-6642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 S 2ND ST",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982734209",
            "telephone_number": "360-419-3546",
            "fax_number": "360-419-3505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETTIT",
        "first_name": "LINDA",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "BA, CLN II",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "RC00029879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacey Pestar, P.T.A.
• Peter E. Kim, DDS, PS
• Amy Peterson, CP60614932
• Chelsea Mae Peterson, OTR/L
• Sherry Lee Peterson, ARNP
• Felicia M Petty, REGISTERED COUNSELOR
• Joan Pfeiffer, RD
• Henning Pforte, MD
• Daniel Pham, MD
• Ken Luong Pham

• Mental Health Counselor in Mount Vernon, WA
• Providers in Mount Vernon, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.