GRACE E PETTY (MA LPC) – Professional Counselor, NPI 1427318369

GRACE E PETTY (MA LPC) is a healthcare provider. based in Lynchburg, Virginia. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials MA LPC. They hold a License No. 64798 (TX). The NPI Number for GRACE E PETTY (MA LPC) is 1427318369

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
GRACE E PETTY (MA LPC)
NPI
1427318369
Phone
(434) 455-1000
Address
3410 OLD FOREST RD
Enumeration Date
25 May 2012
Last Update Date
14 August 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4346164980
Graduation Year
2008 (18 years ago)
PAC ID
2668857863
Group Practice PAC ID
8022493220
Professional Enrollment ID
I20240222004328
Address ID
VA245025155LY808XXRDXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:14State licenses:2Digital endpointsOther names

1,998 MENTAL HEALTH COUNSELOR in VA

Provider Addresses for GRACE E PETTY (MA LPC)

  • 3410 OLD FOREST RD

    LYNCHBURG, VA 245012915

    Phone: (434) 455-1000

    Fax: (434) 485-8877

    Type: Location

  • 620 COURT ST

    LYNCHBURG, VA 245041312

    Phone: (434) 455-1000

    Fax: (434) 485-8877

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-02-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240222004328IMental Health CounselorVATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 24501)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8022493220View full group profile
NameSpecialtyState
Mental Health CounselorVA
Mental Health CounselorVA
Mental Health CounselorVA
Mental Health CounselorVA
Clinical Social WorkerVA
Mental Health CounselorVA
Mental Health CounselorVA
Mental Health CounselorMA
Mental Health CounselorVA

Reviews

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Frequently asked questions

Where can patients find GRACE E PETTY (MA LPC)'s NPI?
You can confirm GRACE E PETTY (MA LPC) with NPI 1427318369; it appears in the national provider directory.
Is GRACE E PETTY (MA LPC) currently active in the NPI registry?
CMS-published data lists GRACE E PETTY (MA LPC) as an active registrant.
What kind of provider is GRACE E PETTY (MA LPC)?
The page reflects Professional Counselor for GRACE E PETTY (MA LPC). Clinical services aligned with this taxonomy classification.
Does GRACE E PETTY (MA LPC) practice in Virginia?
You will see Lynchburg, Virginia on file for GRACE E PETTY (MA LPC) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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