Individual provider Active NPI

Mary Jo Pruitt, LCSW

  • Mental Health Counselor
  • Gadsden, AL
National Provider Identifier
1609951540
Registry record updated Mar 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2026C Issued in AL
Practice address
3001 Scenic Highway
Gadsden, AL 35904-3047
Phone
(256) 546-9265
Fax
(256) 549-0376
NPI assigned
Oct 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 2026C AL Primary

Addresses

Primary practice location

3001 Scenic Highway
Gadsden, AL 35904-3047

Mailing address

3001 Scenic Highway
Gadsden, AL 35904-3047
Phone (256) 546-9265

Other identifiers 1

IdentifierTypeStateIssuer
2026COtherALSOCIAL WORK LICENSE

Other names 1

  • Ms. Mary Jo Weiner Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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

Enrollment IDStateProvider typePAC IDDetails
I20070104000457 AL Practitioner - Clinical Social Worker 4183624786 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Grayson and Associates PCGroup PAC ID 9032108253, 65 clinicians

Practice addresses (Care Compare)

801 Noble St
Suite 400
Anniston, AL 36201-5698
Phone (256) 770-4083

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2026CALMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Grayson and Associates PC CurrentSince Jul 21, 2018 Accepting new patients
Southeastern Psychiatric Management, Inc. Mental Health CurrentSince Oct 24, 2006 Accepting new patients
Southeastern Psychiatric Management, Inc. CurrentSince Oct 24, 2006 Accepting new patients
SVPS Psychiatric Services LLC Past Accepting new patients

Locations

801 Noble St
Ste 400
Anniston, AL 36201
Phone (256) 405-9097

1302 Noble St
Ste 3F
Anniston, AL 36201
Phone (256) 225-6418

3001 Scenic Hwy
Gadsden, AL 35904
Phone (256) 546-9265

2200 Lakeshore Dr
Ste 150
Homewood, AL 35209
Phone (205) 397-4774

100 Concourse Pkwy
Ste 101
Hoover, AL 35244
Phone (205) 444-0420

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205366400000",
    "number": "1609951540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 SCENIC HIGHWAY",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359043047",
            "telephone_number": "256-546-9265",
            "fax_number": "256-549-0376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 SCENIC HIGHWAY",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359043047",
            "telephone_number": "256-546-9265",
            "fax_number": "256-549-0376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRUITT",
        "first_name": "MARY",
        "middle_name": "JO",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2008-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AL",
            "license": "2026C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOCIAL WORK LICENSE",
            "identifier": "2026C",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "WEINER",
            "middle_name": "JO",
            "prefix": "MS.",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gadsden, AL

Sources for this page

Verify at the official NPI Registry.