Individual provider Active NPI

Jamie Pruitt, LPC

  • Mental Health Counselor
  • Anniston, AL
National Provider Identifier
1841291663
Registry record updated Aug 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2254 Issued in AL
Practice address
1302 Noble Street
Ste 3D
Anniston, AL 36201-4678
Phone
(256) 546-9265
Fax
(256) 549-0376
NPI assigned
Aug 2, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2013

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 2254 AL Primary

Addresses

Primary practice location

1302 Noble Street
Ste 3D
Anniston, AL 36201-4678

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
2254OtherALLPC

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
I20240424000599 AL Practitioner - Mental Health Counselor 2466891445 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gardenia Cove Mental Health PCGroup PAC ID 0648534537, 40 clinicians

Practice addresses (Care Compare)

7475 Halcyon Pointe Dr
Montgomery, AL 36117-8053
Phone (334) 954-6010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2254ALMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Gardenia Cove Mental Health PC CurrentSince Mar 4, 2024 Accepting new patients

Locations

7475 Halcyon Pointe Dr
Montgomery, AL 36117
Phone (334) 954-6010

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.

NPI Registry JSON

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377561600000",
    "number": "1841291663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 SCENIC HWY",
            "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": "1302 NOBLE STREET",
            "address_2": "STE 3D",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362014678",
            "telephone_number": "256-546-9265",
            "fax_number": "256-549-0376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRUITT",
        "first_name": "JAMIE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-02",
        "last_updated": "2013-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AL",
            "license": "2254",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPC",
            "identifier": "2254",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anniston, AL

Sources for this page

Verify at the official NPI Registry.