Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Pettingill Counseling Services, Professional Corporation

Organization Clinical Social Worker · NPI 1891919890

Pettingill Counseling Services, Professional Corporation provides Clinical Social Worker services in Idaho Falls, Idaho. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

1302 E 17th St
Idaho Falls, ID 83404-6270
Phone: (208) 542-9919
Fax: (208) 542-6272
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1891919890
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tamara Pettingill — Owner · (208) 542-9919
NPI enumeratedApril 12, 2007
Last updated in NPPESJuly 24, 2026
Certification dateJuly 24, 2026
Mailing address1302 E 17th St, Idaho Falls, ID 83404-6270

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