Active NPI
Katrina L Pruitt, MS, NCC
- Professional Counselor
- Independence, MO
National Provider Identifier
1467048496
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2020037488
- Practice address
- 3737 S Elizabeth St Ste 200
Independence, MO 64057-1785 - Phone
- (816) 255-1500
- NPI assigned
- Dec 14, 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 | 2020037488 | MO | Primary |
Addresses
Primary practice location
3737 S Elizabeth St Ste 200
Independence, MO 64057-1785
Mailing address
605 SE Alger Dr
Blue Springs, MO 64014-5573
Phone (719) 337-8947
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2020037488 | MO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607904000000",
"number": "1467048496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "605 SE ALGER DR",
"city": "BLUE SPRINGS",
"state": "MO",
"postal_code": "640145573",
"telephone_number": "719-337-8947"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3737 S ELIZABETH ST STE 200",
"city": "INDEPENDENCE",
"state": "MO",
"postal_code": "640571785",
"telephone_number": "816-255-1500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRUITT",
"first_name": "KATRINA",
"middle_name": "L",
"credential": "MS, NCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-12-14",
"last_updated": "2020-12-14",
"certification_date": "2020-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "2020037488",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Independence, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.