Active NPI
Rhonda Lee Pruitt, LPC, LISAC
- Professional Counselor
- Phoenix, AZ
National Provider Identifier
1487922969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 11597
- Practice address
- 1223 E Winter Dr
Phoenix, AZ 85020-4213 - Phone
- (602) 320-7787
- NPI assigned
- Dec 12, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | F18635 | IN | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1291 | AZ | |
| Mental Health Counselor | 101YM0800X | 11597 | AZ | |
| Professional Counselor | 101YP2500X | 11597 | AZ | Primary |
Addresses
Primary practice location
1223 E Winter Dr
Phoenix, AZ 85020-4213
Mailing address
1223 E Winter Dr
Phoenix, AZ 85020-4213
Phone (602) 320-7787
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 |
|---|---|---|---|
| F18635 | IN | MD | Counselor |
| 1291 | AZ | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323648000000",
"number": "1487922969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1223 E WINTER DR",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850204213",
"telephone_number": "602-320-7787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1223 E WINTER DR",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850204213",
"telephone_number": "602-320-7787"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRUITT",
"first_name": "RHONDA",
"middle_name": "LEE",
"name_prefix": "Ms.",
"credential": "LPC, LISAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-12-12",
"last_updated": "2011-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "IN",
"license": "F18635",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "AZ",
"license": "1291",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AZ",
"license": "11597",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AZ",
"license": "11597",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.