Isis Jaijadea Pettway
Mental Health Counselor · Little Rock, AR
Isis Jaijadea Pettway is a mental health counselor with a practice address in Little Rock, Arkansas, and NPI 1467969659, issued on Jan 9, 2018. Check the license (Arkansas P2304012, as entered in NPPES) with the Arkansas board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Isis Jaijadea Pettway
- Primary taxonomy
- Mental Health Counselor 101YM0800X
- License number
- P2304012 AR
Self-reported in NPPES; status is on the state search - Practice location
- 4224 Shuffield Dr, Little Rock, AR 72205
- Phone
- (501) 526-8200
- Enumerated
- Jan 9, 2018
- Record last updated
- Mar 6, 2024
- Fax
- (501) 526-5296
- Medicare enrollment
- Enrolled (PECOS I20240318002029); accepts Medicare assignment
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest mental health counselor records → All 2,663 in Arkansas → Look up another NPI →
Also registered at 4224 Shuffield Dr
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Mia-Angel BennettSocial Worker1477352839
- Ferrell Bonner, LCSWClinical Social Worker1700491263
- Todd Brinkley, MDPsychiatry Physician1588127526
- Stacie Chalupka, LCSWClinical Social Worker1316543952
- Jonathan ChastainPsychiatry Physician1306343124
- Hilary Clark, MAClinical Neuropsychologist1154806552
Verify Isis Jaijadea Pettway in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Arkansas board licenses this profession
Search for license P2304012Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- University OF Arkansas For Medical SciencesLittle Rock, AR
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Isis Jaijadea Pettway among 2,663 mental health counselor records in Arkansas
Isis Jaijadea Pettway is one of 2,663 mental health counselor records with a practice address in Arkansas. 5% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2018, is newer than 63% of them.
- NPI issued2018 · 63% of these records are older, 32% newer
- In a Medicare fileYes · 5% of these records are
- In the CMS Doctors and Clinicians fileYes · 8% of these records are
- Graduated2019 · median 2014 among the 204 with a school on file
- Record last updated2024 · 62% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 101YM0800X and a Arkansas practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
577 mental health counselor records list a practice address in Little Rock
They are 577 of the 13,172 NPPES records with a practice address in Little Rock, and 2,663 mental health counselor records in Arkansas.
All 2,663 in Arkansas → Every provider in Little Rock → Mental Health Counselor nationwide →
The 8 mental health counselor records with the nearest ZIP codes
- Kathy Bondurant, MHPPLittle Rock, AR 722051396954913
- Ronald Boyle, M.D.Little Rock, AR 722051942398433
- Jessica DeesLittle Rock, AR 722051427274018
- Leslie ForemanLittle Rock, AR 722051558588434
- James Harris, LPELittle Rock, AR 722051982739215
- Ruthie Horton, MHPPLittle Rock, AR 722051821217639
- Kimberly Kennedy, LPCLittle Rock, AR 722051205976792
- Gaye Law, MHPPLittle Rock, AR 722051902024581
Common questions
What is Isis Jaijadea Pettway's NPI number?
Isis Jaijadea Pettway's National Provider Identifier (NPI) is 1467969659, issued on Jan 9, 2018. An NPI identifies a provider in billing; it is not a license.
Where is Isis Jaijadea Pettway located?
The NPPES record lists a practice address at 4224 Shuffield Dr, Little Rock, AR, 72205. Phone: (501) 526-8200. Providers update this record themselves, so call before visiting.
How can I verify Isis Jaijadea Pettway's license?
NPPES lists Arkansas license number P2304012, as entered by the provider. Search the Arkansas board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.