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

Mr. Kevin Lee Pettus, CCS, ACADC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1265848717

Mr. Kevin Lee Pettus, CCS, ACADC is an Addiction (Substance Use Disorder) Counselor in Challis, Idaho 83226, Idaho. Practices as a sole proprietor and works from 2 locations. Licensed in Idaho.

Licensed in
ID
In the registry since
2014
Specialties on file
2

Practice location Address checks out

25431 Hwy 93
Challis, Idaho 83226, ID 83226-8322
Phone: (208) 879-2267
Show map & directions

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

Additional practice locations (1)

  • 605 11th Ave E, Gooding, ID 83330-5368 — (208) 934-8461

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 13012 (ID)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 12002 (ID)

Record details

NPI number1265848717
Entity typeIndividual (Type 1)
GenderMale
Credentials CCS , ACADC
Sole proprietorYes
NPI enumeratedJuly 5, 2014
Last updated in NPPESSeptember 3, 2021
Certification dateSeptember 3, 2021