Pettis Counseling, PLLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

PETTIS COUNSELING, PLLC

Practice address

505 N Sam Houston Pkwy E
Suite 154
Houston, TX 77060-4018

Phone

(281) 222-6714

Fax

(832) 777-6031

NPI assigned

Jun 9, 2016

Last updated

Jun 9, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Linda Pettis EllisNPI 1275840803

Title

Manager

Phone

(281) 222-6714

Specialties & licenses 5

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Linda Pettis Ellis, PHD, NCC, LPC-S

  • Professional Counselor
  • Humble, TX
  • NPI 1275840803
  NPD (past) Authorized official

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

{
    "created_epoch": "1465430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465430400000",
    "number": "1639528789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 N SAM HOUSTON PKWY E",
            "address_2": "SUITE 154",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770604018",
            "telephone_number": "281-222-6714",
            "fax_number": "832-777-6031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 N SAM HOUSTON PKWY E",
            "address_2": "SUITE 154",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770604018",
            "telephone_number": "281-222-6714",
            "fax_number": "832-777-6031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETTIS COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-09",
        "last_updated": "2016-06-09",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "PETTIS",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "281-222-6714",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": null,
            "primary": true
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "TX",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127584803",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christina Marie Denise Petties
• Candace Diane Pettigrew, M.D.
• Dorothy Carol Pettigrew, PSY. D
• Haileigh Pettigrew, LPC
• Roslynn Pettigrew, LCSW
• Renee Delise Pettis, PA-C
• George Walter Pettit, MD
• Makenzie Pettit
• Nathan James Pettit, D.M.D., M.S.D.
• Breanna Marie Pettus

• Professional Counselor in Houston, TX
• Providers in Houston, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2016; 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.