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

MS. Isis Jaijadea Pettway

Individual provider Mental Health Counselor · NPI 1467969659

MS. Isis Jaijadea Pettway is a Mental Health Counselor in Little Rock, Arkansas. Qualified in 2019, 7 years ago. Practices with University of Arkansas for Medical Sciences, a 1,144-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Arkansas.

Years since qualifying
7
Licensed in
AR
In the registry since
2018
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Practice location Address checks out

4224 Shuffield Dr
Little Rock, AR 72205-7211
Phone: (501) 526-8200
Fax: (501) 526-5296
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 6601 W 12th St, Little Rock, AR 72204-1513 — (501) 666-8686
  • 4301 W Markham St # 568, Little Rock, AR 72205-7101 — (501) 526-8200

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence P2304012 (AR)

Record details

NPI number1467969659
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 9, 2018
Last updated in NPPESMarch 6, 2024
Certification dateMarch 6, 2024

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice University Of Arkansas For Medical Sciences — 1144 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Little Rock