Mrs Tina Yvonne Pettiford, LPC - Counselor in East Saint Louis, IL

Mrs Tina Yvonne Pettiford, LPC is a Counselor - Professional based in East Saint Louis, Illinois. Mrs Tina Yvonne Pettiford is licensed to practice in Illinois (license number 178.006219) and her current practice location is 5501 N Park Dr, East Saint Louis, Illinois. She can be reached at her office (for appointments etc.) via phone at (618) 244-5119.

NPI number for Mrs Tina Yvonne Pettiford is 1366711939 and her current mailing address is 3805 Robin Dr, Mount Vernon, Illinois. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1366711939.

Contact Information

Mrs Tina Yvonne Pettiford, LPC
5501 N Park Dr,
East Saint Louis, IL 62204-2121
(618) 244-5119
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameMrs Tina Yvonne Pettiford
GenderFemale
SpecialityCounselor - Professional
Location5501 N Park Dr, East Saint Louis, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1366711939
  • Provider Enumeration Date: 12/27/2011
  • Last Update Date: 12/27/2011

Medical Identifiers

Medical identifiers for Mrs Tina Yvonne Pettiford such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366711939NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101Y00000XCounselor 178.006219 (Illinois)Secondary
101YM0800XCounselor - Mental Health 178.006219 (Illinois)Secondary
101YP2500XCounselor - Professional 178.006219 (Illinois)Primary
101YS0200XCounselor - School 2341716 (Illinois)Secondary
106H00000XMarriage & Family Therapist 178.006219 (Illinois)Secondary

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. Mrs Tina Yvonne Pettiford 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 AddressPractice Location Address
Mrs Tina Yvonne Pettiford, LPC
3805 Robin Dr,
Mount Vernon, IL 62864-2268

Ph: (618) 244-5119
Mrs Tina Yvonne Pettiford, LPC
5501 N Park Dr,
East Saint Louis, IL 62204-2121

Ph: (618) 244-5119

Reviews and Comments


Counselor in East Saint Louis, IL

Marianna Peterson, MSW
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Medicare: Not Enrolled in Medicare
Practice Location: 5601 State St, East Saint Louis, IL 62203
Phone: 618-213-3170    Fax: 618-493-6390
Gina Ash,
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Ms. Margi Lynn Wagner-farley,
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Practice Location: 3120 State St Ste A, East Saint Louis, IL 62205
Phone: 618-875-0673    Fax: 618-875-0861
Mayra Velasco,
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Medicare: Not Enrolled in Medicare
Practice Location: 5601 State St, East Saint Louis, IL 62203
Phone: 618-213-3170    Fax: 618-213-3171
Timothy J Kelly, MA, LCPC
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Medicare: Not Enrolled in Medicare
Practice Location: 9400 Lebanon Rd, East Saint Louis, IL 62203
Phone: 618-397-0968    
Ms. Alicia Michelle Collier,
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Medicare: Medicare Enrolled
Practice Location: 2420 State St, East Saint Louis, IL 62205
Phone: 618-318-8809    Fax: 618-615-4205

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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