What is Jathaniel Pettitt's NPI number?

Jathaniel Pettitt's National Provider Identifier (NPI) is 1629770904, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Jathaniel Pettitt's specialty?

Jathaniel Pettitt is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).

Where is Jathaniel Pettitt located?

Jathaniel Pettitt's practice location on file with NPPES is 12900 Park Plaza Dr, Cerritos, CA 90703-9329.

What is Jathaniel Pettitt's phone number?

The practice phone number listed in the NPPES registry for Jathaniel Pettitt is (305) 630-1346.

Is Jathaniel Pettitt's NPI active?

Yes — Jathaniel Pettitt's NPI (1629770904) is active in the NPPES registry as of the last update on 2023-03-20.

IndividualActive

Jathaniel Pettitt, LPCC

NPI 1629770904 · Mental Health Counselor · Cerritos, CA

Jathaniel Pettitt, LPCC is a Mental Health Counselor provider in Cerritos, CA (NPI 1629770904).

Provider details

NPI number: 1629770904
Entity type: Individual
Primary specialty: Mental Health CounselorBehavioral Health & Social Service Providers
Credential: LPCC
Sex: Male
Sole proprietor: Yes
License: LPC-19640 (AZ)

Specialties & taxonomies

Mental Health CounselorPrimary101YM0800XLicense LPCC10824 (CA)
Behavioral Health & Social Service Providers
Mental Health Counselor101YM0800XLicense LPC-19640 (AZ)
Behavioral Health & Social Service Providers
Mental Health Counselor101YM0800XLicense 66158 (TX)
Behavioral Health & Social Service Providers
Professional Counselor101YP2500XLicense LPC-19640 (AZ)
Behavioral Health & Social Service Providers
Professional Counselor101YP2500XLicense 66158 (TX)
Behavioral Health & Social Service Providers
Professional Counselor101YP2500XLicense LPCC10824 (CA)

Profile Score

Established profile(59/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
3 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

12900 Park Plaza Dr

Cerritos, CA 90703-9329

Phone: (305) 630-1346

Street-level locationGet directions

More CA providers

Mailing address

17378 W Pima St

Goodyear, AZ 85338-1962

Enumerated: 2023-03-20
Last updated: 2023-03-20
Certified: 2023-03-20

Frequently asked questions

What is Jathaniel Pettitt's NPI number?: Jathaniel Pettitt's National Provider Identifier (NPI) is 1629770904, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
What is Jathaniel Pettitt's specialty?: Jathaniel Pettitt is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).
Where is Jathaniel Pettitt located?: Jathaniel Pettitt's practice location on file with NPPES is 12900 Park Plaza Dr, Cerritos, CA 90703-9329.
What is Jathaniel Pettitt's phone number?: The practice phone number listed in the NPPES registry for Jathaniel Pettitt is (305) 630-1346.
Is Jathaniel Pettitt's NPI active?: Yes — Jathaniel Pettitt's NPI (1629770904) is active in the NPPES registry as of the last update on 2023-03-20.

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.