MS. RACHEL B PETTYS (NPI# 1902053895) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902053895 |
| Entity Type | Individual |
| Full Name | MS. RACHEL B PETTYS |
| Credential | LAC |
| Practice Address |
2605 Circle Drive Jamestown ND 58401-2968 |
| Mailing Address |
2605 Circle Dr Jamestown ND 58401-6905 |
| Practice Telephone | 7012533206 |
| Practice Fax Number | 7012533748 |
| Mailing Telephone | 7012533206 |
| Mailing Fax Number | 7012533748 |
| Enumeration Date | 2008-08-21 |
| Last Update Date | 2016-08-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
1582 | ND | Behavioral Health & Social Service Providers |
| Street Address |
2605 CIRCLE DRIVE |
| City | JAMESTOWN |
| State | ND |
| Zip Code | 58401-2968 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396343737 | Face and Jaw Surgeons PC | Dentist | 1517 12 Ave Ne, Jamestown, ND 58401 | 2020-10-16 |
| 1194216481 | Richard Yonick | Case Manager/Care Coordinator | South Central Human Service Center, 520 3rd St Nw, Jamestown, ND 58401 | 2018-05-23 |
| 1831607910 | Creative Journey, LLC | Clinic/Center | 429 2nd St Sw Ste 205, Jamestown, ND 58401 | 2018-01-11 |
| 1619399334 | Stutsman County Social Services | Case Manager/Care Coordinator | 116 1st Street East, Jamestown, ND 58401 | 2014-01-15 |
| 1073945176 | Sarah Walker | Pharmacist | 410 10th Street Se, Suite 8, Jamestown, ND 58401 | 2013-07-31 |
| 1811339369 | Yvette D Patrick | Occupational Therapist | 207 2nd Avenue Se, Jamestown, ND 58401 | 2013-07-25 |
| 1144582933 | Anne Carlsen Center | Intermediate Care Facility, Mentally Retarded | 701 3rd Steeet Nw, Jamestown, ND 58401 | 2012-06-08 |
| 1407008360 | Jacob Dale Reinarts | Counselor | 2504 Circle Dr # 58401, Jamestown, ND 58401 | 2008-10-22 |
| 1548426430 | Shipley Basic Care | Alzheimer Center (Dementia Center) | 1505 3 St Se, Jamestown, ND 58401 | 2008-07-31 |
| 1831384445 | Drake Counseling Services | Clinic/Center | 1210 13th Ave Sw, Jamestown, ND 58401 | 2007-09-07 |
| Find all providers in zip 58401 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194359299 | Maretta Garner | Counselor | 45 Dixon Rd, Jamestown, KY 42629-6615 | 2020-02-27 |
| 1902457682 | Keyana Tanie Jordan | Counselor | 4508 Crowne Lake Cir Apt 1d, Jamestown, NC 27282-7921 | 2019-09-24 |
| 1730687104 | A Silverlining Counseling, Inc. | Counselor | 3636 Pickett Park Hwy, Jamestown, TN 38556-5881 | 2018-01-31 |
| 1063922763 | Darin Mark Hassel | Counselor | 300 2nd Ave Ne Ste 221, Jamestown, ND 58401-3373 | 2017-10-07 |
| 1518327162 | Emmalee P Sherrod | Counselor | 3346 Cherrybrook Dr, Jamestown, NC 27282-7782 | 2016-02-24 |
| 1497152227 | Dirk Nuttle | Counselor | 6324 Stonewick Dr, Jamestown, NC 27282-8516 | 2014-11-21 |
| 1952738205 | John Chancellor Williams | Counselor | 725 W Main St Ste B, Jamestown, NC 27282-7507 | 2013-10-02 |
| 1407008360 | Jacob Dale Reinarts | Counselor | 2504 Circle Dr # 58401, Jamestown, ND 58401 | 2008-10-22 |
| 1952428773 | Mark Walter Mcgroary | Counselor | 303 Oakdale Rd, Jamestown, NC 27282-9257 | 2007-03-25 |
| 1679689954 | Nancy Ann Exner | Counselor | 8980 38th St Se, Jamestown, ND 58401-9709 | 2006-08-21 |
| Find all providers in JAMESTOWN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.