Tyler Jonathon Pettett, LMHCA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MC70056274 Issued in WA

Practice address

9419 NW 28TH CT
Vancouver, WA 98665-6181

Phone

(360) 448-8711

NPI assigned

Aug 3, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1564790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767916800000",
    "number": "1780239178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9419 NW 28TH CT",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986656181",
            "telephone_number": "360-448-8711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9419 NW 28TH CT",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986656181",
            "telephone_number": "360-448-8711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETTETT",
        "first_name": "TYLER",
        "middle_name": "JONATHON",
        "credential": "LMHCA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-08-03",
        "last_updated": "2026-01-09",
        "certification_date": "2026-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC70056274",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lyndsey Tyler Petrino
• Angelika M Petrova
• Anna M Petruolo, LMP
• Danielle Mariah Pettet, DC
• Michael Pettet, DC
• Theron M Pettit, MD
• Daniel S Petty, DDS
• Tenli N Petty
• Christopher Pexton, D.O.
• Liliana Peychev

• Mental Health Counselor in Vancouver, WA
• Providers in Vancouver, 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 Jan 9, 2026; 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.