Matthew Jarvis Pettit, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

980 Issued in CO

Practice address

1801 I 70 Business Loop Ste B5
Grand JCT, CO 81501-8002

Phone

(970) 245-3212

Fax

(970) 245-3216

NPI assigned

Oct 17, 2008

Sex

Male

Sole proprietor

No

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

Enrolled in CO

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 1

Specialty

Marriage and Family Therapist

Education

Other, 2004

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Law

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.

• Deep Rivers Family Counseling Inc

  • Marriage & Family Therapist
  • Grand Junction, CO
  • NPI 1912261603
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1224201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700179200000",
    "number": "1871745117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23360",
            "city": "GLADE PARK",
            "state": "CO",
            "postal_code": "815230360",
            "telephone_number": "970-623-4281",
            "fax_number": "970-245-3216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 I 70 BUSINESS LOOP STE B5",
            "city": "GRAND JCT",
            "state": "CO",
            "postal_code": "815018002",
            "telephone_number": "970-245-3212",
            "fax_number": "970-245-3216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETTIT",
        "first_name": "MATTHEW",
        "middle_name": "JARVIS",
        "credential": "MFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-17",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CO",
            "license": "980",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "UT",
            "license": "5696849-3902",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monumental Behavioral Health Services, PLLC
• Herbert Slocum Mooney III, MD
• Aaron Moore, DO
• Jacqueline Nichole Muniz, MS
• Ryan O'Dell, D.O.
• Amber Noel Pitts, MA
• Gabriel Rubio, CHI - SPANISH
• Matthew Kimball Runyan, DO
• Melissa A Schmalz, DO
• Sheader Chiropractic LLC

• Marriage & Family Therapist in Grand JCT, CO
• Providers in Grand JCT, CO by specialty
• Marriage & Family Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2023; 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.