NPI age
11 years
Enumerated 2014-07-05
● Active
Type 1 · Individual
MR. Kevin Lee Pettus, CCS, ACADC
Pettus is 1 of 1 counselor providers in Challis, Idaho 83226 and 1 of 266 in Idaho.
Primary specialty
Counselor
Plus 1 subspecialty
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2021-09-03
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 266 active counselor providers in Idaho.
NPI age
11 years
↑ 2 yr above median (9 yr)
State licenses
1 state
1% of peers hold multiple states
Subspecialties
0
17% of peers hold subspecialties
NPI lifetime · 2014 → 2026
2014-07Enumerated in NPPES
2014
2026
Where they practice
Practice location
25431 Hwy 93
Challis, Idaho 83226, ID 832268322
Mailing address
397 River Dr
Challis, ID 832264840
Additional practice locations
1 secondary location on file with NPPES.
Location 2
605 11th Ave E
Gooding, ID 833305368
Specialties
-
Counselor PrimaryDefinition to come...
Practice context
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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