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

Matthew Scott Pettinga, MA, LPC

Individual provider Counselor · NPI 1124533757

Matthew Scott Pettinga, MA, LPC is a Counselor in Grand Rapids, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2017
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

3292 N Evergreen Dr NE
Grand Rapids, MI 49525-9746
Phone: (616) 365-8920
Fax: (616) 365-8971
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence 6401015324 (MI)

Record details

NPI number1124533757
Entity typeIndividual (Type 1)
GenderMale
Credentials MA , LPC
Sole proprietorYes
NPI enumeratedDecember 5, 2017
Last updated in NPPESOctober 3, 2025
Certification dateOctober 3, 2025

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