Joyya Pettus, Certified Peer Spec
Counselor, Mental Health in Detroit, MI. Individual provider (NPI-1).
NPI number1629527353
StatusActive
Last updated in NPPESSep 22, 2016
Details
- NPI
- 1629527353
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Joyya Pettus
- Credential
- Certified Peer Spec
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 22, 2016
- Last updated
- Sep 22, 2016
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
882 Oakman BlvdDetroit, MI 48238-3710
Phone 313-967-5320 · Fax 313-579-5950
Mailing address
25153 Lindenwood LnSouthfield, MI 48033-6189
Phone 313-681-4286
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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