MRS. TINA YVONNE PETTIFORD (LPC) – Professional Counselor, NPI 1366711939

Professional Counselor

MRS. TINA YVONNE PETTIFORD (LPC) is a healthcare provider. based in Mount vernon, Illinois. specializing in Professional Counselor. They hold the professional credentials LPC. They hold a License No. 178.006219 (IL). The NPI Number for MRS. TINA YVONNE PETTIFORD (LPC) is 1366711939

Main info

Female

Name

MRS. TINA YVONNE PETTIFORD (LPC)

NPI

1366711939

Phone

(618) 244-5119

Address

3805 ROBIN DR

Enumeration Date

27 December 2011

Last Update Date

27 December 2011

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

Provider Addresses for MRS. TINA YVONNE PETTIFORD (LPC)

3805 ROBIN DR
MOUNT VERNON, IL 628642268
Phone: (618) 244-5119
Type: Mailing
5501 N PARK DR
EAST SAINT LOUIS, IL 622042121
Phone: (618) 244-5119
Type: Location

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.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

No Medicare enrollment or revalidation data available for this provider in our database.

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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 62864)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for MRS. TINA YVONNE PETTIFORD (LPC)?

MRS. TINA YVONNE PETTIFORD (LPC) — NPI 1366711939 — is the standard way to identify this listing.

Does the file indicate MRS. TINA YVONNE PETTIFORD (LPC) is practicing under active NPI?

Directory data currently reports MRS. TINA YVONNE PETTIFORD (LPC) as active.

What healthcare role does MRS. TINA YVONNE PETTIFORD (LPC) hold?

Scheduling teams often label MRS. TINA YVONNE PETTIFORD (LPC) under Professional Counselor. Clinical services aligned with this taxonomy classification.

Where is MRS. TINA YVONNE PETTIFORD (LPC) based?

MRS. TINA YVONNE PETTIFORD (LPC) is tied to Mount Vernon, Illinois in the data we show; additional addresses may exist on the full record.

Why does MRS. TINA YVONNE PETTIFORD (LPC) have multiple addresses?

2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.