IndividualActive
Adrienne Petty, LPC
NPI 1134735665 · Professional Counselor · Black Jack, MO
Adrienne Petty, LPC is a Professional Counselor provider in Black Jack, MO (NPI 1134735665).
Provider details
- NPI number
- 1134735665
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- Yes
- License
- 2017043874 (MO)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES 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
12100 Old Halls Ferry Rd
Black Jack, MO 63033-7112
Phone: (314) 441-6679
Street-level locationGet directions
Mailing address
4883 Bristol Rock Rd
Black Jack, MO 63033-7104
Registry dates
- Enumerated
- 2020-09-21
- Last updated
- 2023-11-27
- Certified
- 2020-09-21
Frequently asked questions
- What is Adrienne Petty's NPI number?
- Adrienne Petty's National Provider Identifier (NPI) is 1134735665, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Adrienne Petty's specialty?
- Adrienne Petty is listed in the NPPES registry with a primary specialty of Professional Counselor (Behavioral Health & Social Service Providers).
- Where is Adrienne Petty located?
- Adrienne Petty's practice location on file with NPPES is 12100 Old Halls Ferry Rd, Black Jack, MO 63033-7112.
- What is Adrienne Petty's phone number?
- The practice phone number listed in the NPPES registry for Adrienne Petty is (314) 441-6679.
- Is Adrienne Petty's NPI active?
- Yes — Adrienne Petty's NPI (1134735665) is active in the NPPES registry as of the last update on 2023-11-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.