Active NPI
Ashly Pruitt, LGPC
- Mental Health Counselor
- Frederick, MD
National Provider Identifier
1801555149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LGP12786
- Practice address
- 5970 Frederick Crossing LN Ste 100
Frederick, MD 21704-5176 - Phone
- (240) 415-8893
- Fax
- (240) 466-1993
- NPI assigned
- Dec 14, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LGP12786 | MD | Primary |
| Behavior Technician | 106S00000X |
Addresses
Primary practice location
5970 Frederick Crossing LN Ste 100
Frederick, MD 21704-5176
Mailing address
5970 Frederick Crossing LN Ste 100
Frederick, MD 21704-5176
Phone (248) 436-4400
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 |
|---|---|---|---|
| LGP12786 | MD | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Silver Psychotherapy LLC | Mental Health | Current | Accepting new patients |
Locations
5970 Frederick Crossing Ln
Ste 100
Frederick, MD 21704
Phone (240) 415-6373
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Frederick, MD
- NPI 1497299952
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1639440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656460800000",
"number": "1801555149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5970 FREDERICK CROSSING LN STE 100",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217045176",
"telephone_number": "248-436-4400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5970 FREDERICK CROSSING LN STE 100",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217045176",
"telephone_number": "240-415-8893",
"fax_number": "240-466-1993"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRUITT",
"first_name": "ASHLY",
"credential": "LGPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-12-14",
"last_updated": "2022-06-29",
"certification_date": "2022-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MD",
"license": "LGP12786",
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.