Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jamie Ray Pettit, EDDLPC-MHSP

Individual provider Mental Health Counselor · NPI 1003371667

Dr. Jamie Ray Pettit, EDDLPC-MHSP is a Mental Health Counselor in Memphis, Tennessee. Qualified in 2006, 20 years ago. Practices as a sole proprietor, works from 2 locations and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
20
Licensed in
TN
In the registry since
2019
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

6401 Poplar Ave Ste 500
Memphis, TN 38119-4808
Phone: (901) 746-9438
Fax: (901) 410-4536
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6630 Summer Knoll Cir, Bartlett, TN 38134-2875 — (901) 746-9438

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 2300 (TN)
Mental Health Counselor Taxonomy 101YM0800X · Licence 2300 (TN)

Record details

NPI number1003371667
Entity typeIndividual (Type 1)
GenderMale
Credentials EDDLPC-MHSP
Sole proprietorYes
NPI enumeratedFebruary 7, 2019
Last updated in NPPESFebruary 12, 2026
Certification dateFebruary 12, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Memphis