Stacy Pettersson, CHMC AND MHC
NPI 1104764935 · Mental Health Counselor · West Jordan, UT
Stacy Pettersson, CHMC AND MHC is a Mental Health Counselor provider in West Jordan, UT (NPI 1104764935).
Provider details
- NPI number
- 1104764935
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- CHMC AND MHC
- Sex
- Female
- Sole proprietor
- Yes
- License
- 929 (HI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2026-03-23
- Last updated
- 2026-03-23
- Certified
- 2026-03-23
Frequently asked questions
- What is Stacy Pettersson's NPI number?
- Stacy Pettersson's National Provider Identifier (NPI) is 1104764935, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Stacy Pettersson's specialty?
- Stacy Pettersson is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Stacy Pettersson located?
- Stacy Pettersson's practice location on file with NPPES is 3696 W Savannah Cir, West Jordan, UT 84084-1710.
- What is Stacy Pettersson's phone number?
- The practice phone number listed in the NPPES registry for Stacy Pettersson is (801) 336-7624.
- Is Stacy Pettersson's NPI active?
- Yes — Stacy Pettersson's NPI (1104764935) is active in the NPPES registry as of the last update on 2026-03-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.