Emily Hope Pettengill, LMHC/LCPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LMHC10000734 Issued in MA

Practice address

300 Andover St Ste 125
Peabody, MA 01960-1526

Phone

(978) 344-2236

NPI assigned

Sep 29, 2020

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Casa Esperanza, Inc.

  • Adult Mental Health Clinic/Center
  • Roxbury, MA
  • NPI 1205060621
  NPD (past)

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

{
    "created_epoch": "1601337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705017600000",
    "number": "1801403233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 ANDOVER ST STE 125",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019601526",
            "telephone_number": "978-852-1477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 ANDOVER ST STE 125",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019601526",
            "telephone_number": "978-344-2236"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "52 Outlet Cove Rd",
            "address_purpose": "LOCATION",
            "city": "Windham",
            "state": "ME",
            "postal_code": "040625536",
            "country_code": "US",
            "telephone_number": "978-344-2236",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETTENGILL",
        "first_name": "EMILY",
        "middle_name": "HOPE",
        "credential": "LMHC/LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-29",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "LMHC10000734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alfonso A Perillo, LICSW
• Cathy R Perlmutter, OPTICIAN
• Jonathan R Perryman, M.D.
• Julian Perti, PA-C
• Richard Michael Petrone, O.D.
• Rachel Pezzuto, RC COUNSELOR
• Lien K Pham, MD
• Jolesha J Phillips-Gulley
• Rosanne Phillips
• Sandy Phomveha

• All providers in Peabody, MA
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2024; 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.