Ashley Pruitt

Primary specialty

CounselorTaxonomy code 101Y00000X

License

178018417 Issued in IL

Practice address

1630 S State St
Springfield, IL 62704-3682

Phone

(217) 528-3694

NPI assigned

Apr 16, 2024

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lotus Wellness Center PCGroup PAC ID 8921375908, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lotus Wellness Center P.C.

  • Mental Health Counselor
  • Palatine, IL
  • NPI 1114450061
  Medicare reassignment Care Compare group NPD
• The Center for Youth and Family Solutions

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Springfield, IL
  • NPI 1710754122
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1713225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713225600000",
    "number": "1194579078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 W WOODLAND AVE",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627042834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 S STATE ST",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627043682",
            "telephone_number": "217-528-3694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRUITT",
        "first_name": "ASHLEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-16",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IL",
            "license": "178018417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katelyn R Probst, CSFA
• Progressive Wellness Center
• Anastasia Proshkina
• Angela M Prosise, P.A.
• Tamara Sue Pruetzel, COTA/L
• Geralyn Sue Prullage, APN
• Psychiatric Wellness Care, LLC
• Psychological Associates of Central Illinois LTD
• Psychological Services of Central Illinois, P.C.
• Mark S Puczynski, M.D.

• Counselor in Springfield, IL
• Providers in Springfield, IL by specialty
• Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.