Individual provider · Type 1 NPI

Matthew Scott Pettinga, MA, LPC

Counselor · Grand Rapids, MI

NPI number 1124533757 Active

Practice location

3292 N Evergreen Dr NE
Grand Rapids, MI 49525-9746

Call (616) 365-8920 Map

Fax (616) 365-8971

Mailing address

300 68th St SE
Grand Rapids, MI 49548-6927

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000X6401015324 (MI)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1124533757

Matthew Scott Pettinga, MA, LPC's National Provider Identifier is 1124533757, issued on Dec 5, 2017. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Grand Rapids, MI. The record was last updated on Oct 3, 2025.