Organization
PETTINGILL COUNSELING SERVICES, PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TAMARA K. PETTINGILL LCSW (OWNER)
(208) 542-9919
Entity
Organization
Contact information
Practice address
1302 E 17TH ST, IDAHO FALLS, ID 83404-6270
(208) 542-9919
(208) 542-6272
Mailing address
1302 E 17TH ST, IDAHO FALLS, ID 83404-6270
(208) 542-9919
(208) 542-6272
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
806803500
—
ID
Enumeration date
04/12/2007
Last updated
07/24/2026
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up