IndividualActive
Taylor Pettway, MS
NPI 1922589639 · Marriage & Family Therapist · Chicago, IL
Provider details
- NPI number
- 1922589639
- Entity type
- Individual
- Primary specialty
- Marriage & Family TherapistBehavioral Health & Social Service Providers
- Credential
- MS
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(66/100 index)
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
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
1136 S Delano Ct W Ste B201
Chicago, IL 60605-3734
Phone: (773) 791-0469
Street-level locationGet directions
Mailing address
5100 N Ravenswood Ave
Chicago, IL 60640-1710
Additional practice locations (1)
- 5100 N Ravenswood AveChicago, IL 60640-1710Phone: (773) 791-0469
Registry dates
- Enumerated
- 2018-08-22
- Last updated
- 2023-04-11
- Certified
- 2023-04-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.