Kevin Pettus, CCS, ACADC
NPI 1265848717 · Addiction (Substance Use Disorder) Counselor · Challis, Idaho 83226, ID
Kevin Pettus, CCS, ACADC is a Addiction (Substance Use Disorder) Counselor provider in Challis, Idaho 83226, ID (NPI 1265848717).
Provider details
- NPI number
- 1265848717
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- CCS, ACADC
- Sex
- Male
- Sole proprietor
- Yes
- License
- 12002 (ID)
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
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Additional practice locations (1)
- 605 11th Ave EGooding, ID 83330-5368Phone: (208) 934-8461
Registry dates
- Enumerated
- 2014-07-05
- Last updated
- 2021-09-03
- Certified
- 2021-09-03
Frequently asked questions
- What is Kevin Pettus's NPI number?
- Kevin Pettus's National Provider Identifier (NPI) is 1265848717, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kevin Pettus's specialty?
- Kevin Pettus is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor (Behavioral Health & Social Service Providers).
- Where is Kevin Pettus located?
- Kevin Pettus's practice location on file with NPPES is 25431 Hwy 93, Challis, Idaho 83226, ID 83226-8322.
- What is Kevin Pettus's phone number?
- The practice phone number listed in the NPPES registry for Kevin Pettus is (208) 879-2267.
- Is Kevin Pettus's NPI active?
- Yes — Kevin Pettus's NPI (1265848717) is active in the NPPES registry as of the last update on 2021-09-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.