Active NPI
Becky Pruessner, LPC
- Professional Counselor
- Dallas, TX
National Provider Identifier
1306466891
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 15588
- Practice address
- 4111 Joshua LN
Dallas, TX 75287-5013 - Phone
- (972) 571-7922
- NPI assigned
- Apr 24, 2020
- Last updated
- Apr 24, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 15588 | TX | Primary |
Addresses
Primary practice location
4111 Joshua LN
Dallas, TX 75287-5013
Mailing address
4111 Joshua LN
Dallas, TX 75287-5013
Phone (972) 571-7922
Other names 1
- Miss Becky McKinney
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15588 | TX | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587686400000",
"number": "1306466891",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4111 JOSHUA LN",
"city": "DALLAS",
"state": "TX",
"postal_code": "752875013",
"telephone_number": "972-571-7922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4111 JOSHUA LN",
"city": "DALLAS",
"state": "TX",
"postal_code": "752875013",
"telephone_number": "972-571-7922"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRUESSNER",
"first_name": "BECKY",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-04-24",
"last_updated": "2020-04-24",
"certification_date": "2020-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "15588",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BECKY",
"last_name": "MCKINNEY",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}
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- Kimie Michelle Pruessner, P.A.-C.
- Cliff Pruett, MD
- Jon Davis Pruett, M.D.
- Kaleigh Pruett, APRN, FNP-C
- Mitchell Pruett, CCC-SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.