Active NPI
Rebecca Lynn Pruitt, LAPC
- Professional Counselor
- Newnan, GA
National Provider Identifier
1497051445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- APC002687
- Practice address
- 2 Lee St
Newnan, GA 30263-1915 - Phone
- (678) 326-4488
- Fax
- (678) 669-2693
- NPI assigned
- Feb 8, 2011
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | APC002687 | GA | Primary |
| School Counselor | 101YS0200X | 753565 | GA | |
| Professional Counselor | 101YP2500X | 178.007099 | IL |
Addresses
Primary practice location
2 Lee St
Newnan, GA 30263-1915
Mailing address
2 Lee St
Newnan, GA 30263-1915
Phone (678) 326-4488
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 |
|---|---|---|---|
| APC002687 | GA | MD | Professional Counselor |
| 178.007099 | IL | MD | Professional Counselor |
| 753565 | GA | MD | School Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grace Harbour Inc. Behavioral Health | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Newnan, GA
- NPI 1396097093
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319587200000",
"number": "1497051445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 LEE ST",
"city": "NEWNAN",
"state": "GA",
"postal_code": "302631915",
"telephone_number": "678-326-4488",
"fax_number": "678-669-2693"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 LEE ST",
"city": "NEWNAN",
"state": "GA",
"postal_code": "302631915",
"telephone_number": "678-326-4488",
"fax_number": "678-669-2693"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRUITT",
"first_name": "REBECCA",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "LAPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-02-08",
"last_updated": "2011-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "APC002687",
"primary": true
},
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": "GA",
"license": "753565",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "178.007099",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newnan, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.