Jenna Nicole Pettit, - Counselor in San Diego, CA

Jenna Nicole Pettit, is a Counselor - Professional based in San Diego, California. Jenna Nicole Pettit is licensed to practice in California (license number 15425) and her current practice location is 1260 Morena Blvd Ste 100, San Diego, California. She can be reached at her office (for appointments etc.) via phone at (619) 275-0822.

NPI number for Jenna Nicole Pettit is 1427778661 and her current mailing address is 1260 Morena Blvd Ste 100, San Diego, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1427778661.

Contact Information

Jenna Nicole Pettit,
1260 Morena Blvd Ste 100,
San Diego, CA 92110-3850
(619) 275-0822
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameJenna Nicole Pettit
GenderFemale
SpecialityCounselor - Professional
Location1260 Morena Blvd Ste 100, San Diego, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1427778661
  • Provider Enumeration Date: 08/29/2022
  • Last Update Date: 01/18/2024

Medical Identifiers

Medical identifiers for Jenna Nicole Pettit such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1427778661NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
106H00000XMarriage & Family Therapist 143662 (California)Secondary
171M00000XCase Manager/care Coordinator (* (Not Available))Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
101YP2500XCounselor - Professional 15425 (California)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. Jenna Nicole Pettit 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
Jenna Nicole Pettit,
1260 Morena Blvd Ste 100,
San Diego, CA 92110-3850

Ph: (951) 741-5106
Jenna Nicole Pettit,
1260 Morena Blvd Ste 100,
San Diego, CA 92110-3850

Ph: (619) 275-0822

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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.

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