Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Mr. Kenneth Michael Pettis Jr., LMFT

Marriage & Family Therapist in Lodi, CA · enumerated 2022.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1699485540

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Registry record

Entity type Individual (Type 1)

Name Mr. Kenneth Michael Pettis Jr.

Credential LMFT

Sex Male

Practice address 315 W Pine St #3, 95240, Lodi, CA, 95240

Phone (209) 366-2273

Enumeration date Dec 1, 2022

Last updated in NPPES Oct 15, 2024

Taxonomy & licenses

106H00000X Marriage & Family Therapist Behavioral Health & Social Service Providers · License 150072 (CA) Primary

LMFT · Licensed Marriage and Family Therapist: A licensed therapist specializing in relational and family psychotherapy. About the LMFT credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is the NPI number for Kenneth Pettis?

The National Provider Identifier (NPI) for Kenneth Pettis is 1699485540, a Type 1 (individual) record in the CMS NPPES registry.

Where does Kenneth Pettis practice?

The practice location on file with NPPES is in Lodi, CA. Providers can have multiple locations; NPPES lists the primary practice address.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-10-15.