NPI age
19 years
Enumerated 2007-04-12
● Active Type 2 · Organization
Pettingill Counseling Services, Professional Corporation
Pettingill Counseling Services, Professional Corporation is 1 of 1998 counselor organizations in Idaho.
Primary specialty
Counselor
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Pettingill
Owner
Last NPPES update
2023-01-04
Source: monthly bulk 2026-05
How this organization compares
Across 1998 active counselor providers in Idaho.
NPI age
19 years
↑ 12 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-04Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
1302 E 17th St
Idaho Falls, ID 834046270
Mailing address
1302 E 17th St
Idaho Falls, ID 834046270
Authorized official
Tamara K. Pettingill, LCSW
Owner
📞 2085429919
Individual providers at this organization
4 individual providers on file at this primary practice address.
- Ethan Booker, LMSW Counselor NPI 1740136811
- Augusta Cox, LMSW Social Worker NPI 1619746211
- Ahna Hatch Counselor NPI 1164395109
- Tamara Pettingill, LCSW Social Worker NPI 1629081864
Specialties
-
Counselor PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 806803500 |
Practice context
Multi-provider organization. 4 individual providers on file at this primary address.
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