Connie Pettitt, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

68526 Issued in TX

Practice address

426 Yacht Club Dr Apt D
Rockwall, TX 75032-5753

Phone

(469) 999-3357

NPI assigned

Jul 1, 2013

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

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

{
    "created_epoch": "1372636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628553600000",
    "number": "1992145213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 RIDGE RD",
            "address_2": "SUITE 102",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750874250",
            "telephone_number": "469-999-3357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 YACHT CLUB DR APT D",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750325753",
            "telephone_number": "469-999-3357"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1101 Ridge Rd",
            "address_2": "Suite 102",
            "address_purpose": "LOCATION",
            "city": "Rockwall",
            "state": "TX",
            "postal_code": "750874250",
            "country_code": "US",
            "telephone_number": "469-999-3357",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "115 N 12th Ave Ste D",
            "address_purpose": "LOCATION",
            "city": "Durant",
            "state": "OK",
            "postal_code": "747014767",
            "country_code": "US",
            "telephone_number": "469-999-3357",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETTITT",
        "first_name": "CONNIE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-01",
        "last_updated": "2021-08-10",
        "certification_date": "2021-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "68526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Kayleen Peterson, APRN
• Kalaybria Peterson
• Albina Petrus, DNP, FNP-C
• Allison Pettett
• Pamela Sue Pettit, SNNP
• Solomon Petty
• Kurt L Pflieger, M.D.
• Joshua Pfost
• Benie Cam-Hang Pham, DO
• Stan Mepurath Philip, PA-C

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2021; 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.