Stanley Jamar Pruitt

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

3707 E Southern Ave Ste 1051
Mesa, AZ 85206-6205

Phone

(480) 493-0092

NPI assigned

Dec 28, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Dezerve Counseling LLC

  • Community/Behavioral Health Agency
  • Phoenix, AZ
  • NPI 1396588521
  Medicare reassignment NPD
• Stanley Pruitt LLC

  • Professional Counselor
  • Mesa, AZ
  • NPI 1760256135
  NPD Authorized official

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738886400000",
    "number": "1396801957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "922 E 10TH ST",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852035632",
            "telephone_number": "619-370-8544",
            "fax_number": "480-641-5768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3707 E SOUTHERN AVE STE 1051",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852066205",
            "telephone_number": "480-493-0092"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "922 E 10th St",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852035632",
            "country_code": "US",
            "telephone_number": "619-370-8544",
            "fax_number": "480-641-5768",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRUITT",
        "first_name": "STANLEY",
        "middle_name": "JAMAR",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-28",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "385HR2055X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Mental Illness, Child",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Promise Hospital of Phoenix Inc
• Proper Paths, LLC
• Prosano Health Solutions, Inc.
• Mia Provenzano
• Provider Provider PC
• Trent Pruitt
• Derek P Pruni, DC
• Charles H Pshaenich, MD
• Psychology Practice of Judith Rand PHD PLC
• Psychotherapy Associates of Arizona, Inc.

• Professional Counselor in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Professional Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2025; 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.