Kenneth Pettis, LMFT
NPI 1699485540 · Marriage & Family Therapist · Lodi, CA
Enrolled with Medicare as Practitioner - Marriage and Family Therapist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kenneth Pettis, LMFT is a Marriage & Family Therapist provider in Lodi, CA (NPI 1699485540).
Provider details
- NPI number
- 1699485540
- Entity type
- Individual
- Primary specialty
- Marriage & Family TherapistBehavioral Health & Social Service Providers
- Credential
- LMFT
- Sex
- Male
- Sole proprietor
- No
- License
- 150072 (CA)
Specialties & taxonomies
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
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
Mailing address
Registry dates
- Enumerated
- 2022-12-01
- Last updated
- 2024-10-15
- Certified
- 2024-10-15
Frequently asked questions
- What is Kenneth Pettis's NPI number?
- Kenneth Pettis's National Provider Identifier (NPI) is 1699485540, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kenneth Pettis's specialty?
- Kenneth Pettis is listed in the NPPES registry with a primary specialty of Marriage & Family Therapist (Behavioral Health & Social Service Providers).
- Where is Kenneth Pettis located?
- Kenneth Pettis's practice location on file with NPPES is 315 W Pine St #3, 95240, Lodi, CA 95240-4094.
- What is Kenneth Pettis's phone number?
- The practice phone number listed in the NPPES registry for Kenneth Pettis is (209) 366-2273.
- Does Kenneth Pettis accept Medicare?
- Kenneth Pettis is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kenneth Pettis's NPI active?
- Yes — Kenneth Pettis's NPI (1699485540) is active in the NPPES registry as of the last update on 2024-10-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.