Mr Raymond Richard Pettis, MS, LMHC in Waterloo, NY

Mr Raymond Richard Pettis, MS, LMHC is a Counselor - Mental Health based in Waterloo, New York. Mr Raymond Richard Pettis is licensed to practice in New York (license number 001185) and his current practice location is 31 Thurber Dr, Waterloo, New York. He can be reached at his office (for appointments etc.) via phone at (315) 539-1980.

NPI number for Mr Raymond Richard Pettis is 1073620753 and his current mailing address is 31 Thurber Dr, Waterloo, New York. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1073620753.

Contact Information

	Mr Raymond Richard Pettis, MS, LMHC
	31 Thurber Dr, Waterloo, NY 13165-1600
	(315) 539-1980
	(315) 539-1054

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Raymond Richard Pettis
Gender	Male
Speciality	Counselor - Mental Health
Location	31 Thurber Dr, Waterloo, New York
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1073620753
Provider Enumeration Date: 08/25/2006
Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Mr Raymond Richard Pettis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073620753	NPI	-	NPPES
001185	Medicaid	NY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	001185 (New York)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Raymond Richard Pettis is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Raymond Richard Pettis, MS, LMHC 31 Thurber Dr, Waterloo, NY 13165-1600 Ph: (315) 539-1980	Mr Raymond Richard Pettis, MS, LMHC 31 Thurber Dr, Waterloo, NY 13165-1600 Ph: (315) 539-1980

Reviews and Comments

Counselor in Waterloo, NY

Ms. Abigail Guillaume, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 31 Thurber Dr, Waterloo, NY 13165 Phone: 315-539-1984
Mrs. Margaret Morse, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 31 Thurber Drive, Waterloo, NY 13165 Phone: 315-539-1958
Deborah L. Stuck, Counselor Medicare: Not Enrolled in Medicare Practice Location: 31 Thurber Dr, Waterloo, NY 13165 Phone: 315-539-1985 Fax: 315-539-4393
Jennifer Marie Goodison, CTRS Counselor Medicare: Not Enrolled in Medicare Practice Location: 31 Thurber Dr, Waterloo, NY 13165 Phone: 315-539-1985
Mrs. Amanda Belle-smith, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 31 Thurber Dr, Waterloo, NY 13165 Phone: 315-539-1980
Brenda L Rider, CASAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 31 Thurber Dr, Waterloo, NY 13165 Phone: 315-539-1985 Fax: 315-539-4393

Mr Raymond Richard Pettis, MS, LMHC - Counselor in Waterloo, NY