Jerell Pettway
NPI 1700341476 · Marriage & Family Therapist · Los Angeles, CA
Jerell Pettway is a Marriage & Family Therapist provider in Los Angeles, CA (NPI 1700341476).
Provider details
- NPI number
- 1700341476
- Entity type
- Individual
- Primary specialty
- Marriage & Family TherapistBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Case Manager/Care Coordinator171M00000X
Other Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
3 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 (2)
- 108 W Victoria StGardena, CA 90248-3523Phone: (310) 715-2020
- 1328 2nd StSanta Monica, CA 90401-1122Phone: (310) 394-6889
Registry dates
- Enumerated
- 2019-02-06
- Last updated
- 2023-10-11
- Certified
- 2023-10-11
Frequently asked questions
- What is Jerell Pettway's NPI number?
- Jerell Pettway's National Provider Identifier (NPI) is 1700341476, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jerell Pettway's specialty?
- Jerell Pettway is listed in the NPPES registry with a primary specialty of Marriage & Family Therapist (Behavioral Health & Social Service Providers).
- Where is Jerell Pettway located?
- Jerell Pettway's practice location on file with NPPES is 3850 Crenshaw Blvd, Los Angeles, CA 90008-1821.
- What is Jerell Pettway's phone number?
- The practice phone number listed in the NPPES registry for Jerell Pettway is (323) 751-3026.
- Is Jerell Pettway's NPI active?
- Yes — Jerell Pettway's NPI (1700341476) is active in the NPPES registry as of the last update on 2023-10-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.