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

Mr. Jathaniel A Pettitt, LPCC

Individual provider Mental Health Counselor · NPI 1629770904

Mr. Jathaniel A Pettitt, LPCC is a Mental Health Counselor in Cerritos, California. Practices as a sole proprietor. Licensed in Arizona, California and Texas.

Licensed in
AZ, CA, TX
In the registry since
2023
Specialties on file
6
What do these letters mean?
LPCC — Licensed Professional Clinical Counselor
The title some states use for a licensed clinical counsellor.

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Practice location Address checks out

12900 Park Plaza Dr
Cerritos, CA 90703-9329
Phone: (305) 630-1346
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence LPCC10824 (CA)
Mental Health Counselor Taxonomy 101YM0800X · Licence LPC-19640 (AZ)
Mental Health Counselor Taxonomy 101YM0800X · Licence 66158 (TX)
Professional Counselor Taxonomy 101YP2500X · Licence LPC-19640 (AZ)
Professional Counselor Taxonomy 101YP2500X · Licence 66158 (TX)
Professional Counselor Taxonomy 101YP2500X · Licence LPCC10824 (CA)

Record details

NPI number1629770904
Entity typeIndividual (Type 1)
GenderMale
Credentials LPCC
Sole proprietorYes
NPI enumeratedMarch 20, 2023
Last updated in NPPESMarch 20, 2023
Certification dateMarch 20, 2023

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