IndividualActive
Ashanti Pettaway
NPI 1710729033 · Mental Health Counselor · Chicago, IL
Ashanti Pettaway is a Mental Health Counselor provider in Chicago, IL (NPI 1710729033).
Provider details
- NPI number
- 1710729033
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(50/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
83% 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
1147 W Ohio St
Chicago, IL 60642-6472
Phone: (312) 772-9796
Fax: (312) 561-6974
Street-level locationGet directions
Mailing address
1631 W 102nd St
Chicago, IL 60643-2144
Registry dates
- Enumerated
- 2024-06-07
- Last updated
- 2024-06-07
- Certified
- 2024-06-07
Frequently asked questions
- What is Ashanti Pettaway's NPI number?
- Ashanti Pettaway's National Provider Identifier (NPI) is 1710729033, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ashanti Pettaway's specialty?
- Ashanti Pettaway is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Ashanti Pettaway located?
- Ashanti Pettaway's practice location on file with NPPES is 1147 W Ohio St, Chicago, IL 60642-6472.
- What is Ashanti Pettaway's phone number?
- The practice phone number listed in the NPPES registry for Ashanti Pettaway is (312) 772-9796.
- Is Ashanti Pettaway's NPI active?
- Yes — Ashanti Pettaway's NPI (1710729033) is active in the NPPES registry as of the last update on 2024-06-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.