Active NPI
Arthur Pruitt, LLPC
- Addiction (Substance Use Disorder) Counselor
- Gobles, MI
National Provider Identifier
1588029706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 6401015027
- Practice address
- 40096 28TH Ave
Gobles, MI 49055-8614 - Phone
- (269) 568-0255
- NPI assigned
- Dec 16, 2015
- Last updated
- Dec 16, 2015
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 6401015027 | MI | Primary |
Addresses
Primary practice location
40096 28TH Ave
Gobles, MI 49055-8614
Mailing address
625 Harrison St
Kalamazoo, MI 49007-3681
Phone (269) 323-1954
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 |
|---|---|---|---|
| 6401015027 | MI | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1450224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1450224000000",
"number": "1588029706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 HARRISON ST",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490073681",
"telephone_number": "269-323-1954"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40096 28TH AVE",
"city": "GOBLES",
"state": "MI",
"postal_code": "490558614",
"telephone_number": "269-568-0255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRUITT",
"first_name": "ARTHUR",
"credential": "LLPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-12-16",
"last_updated": "2015-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MI",
"license": "6401015027",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gobles, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.