P Praxis·MD
● Active Type 1 · Individual

MR. Kevin Lee Pettus, CCS, ACADC

Counselor·Challis, Idaho 83226, ID· NPI 1265848717 · Enumerated 2014 · 11 years on NPI
Pettus is 1 of 1 counselor providers in Challis, Idaho 83226 and 1 of 266 in Idaho.
NPI age
11 years
Enumerated 2014-07-05
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
📞 2088792267
Mailing address
397 River Dr
Challis, ID 832264840
📞 2808337632fax 2088792089

Additional practice locations

1 secondary location on file with NPPES.

Location 2
605 11th Ave E
Gooding, ID 833305368
📞 2089348461

Specialties

  • Counselor Primary
    Definition to come...
    ID license #13012ID license #12002 taxonomy 101YA0400X

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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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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