Amanda G Pruit, LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

2012014720 Issued in MO

Practice address

320 North St Ste 206
Nacogdoches, TX 75961-5018

Phone

(936) 244-5681

NPI assigned

Jun 25, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 1, 2024 through Jan 1, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Nacogdoches Counseling Services, PLLC

  • Mental Health Counselor
  • Nacogdoches, TX
  • NPI 1669306718
  NPD Authorized official

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

{
    "created_epoch": "1340582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1861756819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 NORTH ST STE 206",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759615018",
            "telephone_number": "936-244-5681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 NORTH ST STE 206",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759615018",
            "telephone_number": "936-244-5681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRUIT",
        "first_name": "AMANDA",
        "middle_name": "G",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-25",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "76198",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MO",
            "license": "2012014720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Procare Nacogdoches LLC
• Kimberly Procell, M.D.
• James Steven Proctor, P.T.
• Progressive Care Home Health
• Emma Pruett, FNP
• Steven Frederick Puffer, D.M.D.
• Pulmonary Medicine of Nacogdoches, P.a.
• Muhammad Qudrat Ullah, MD
• Marian Kathleen Querry, D.O.
• R. Kent Cannaday, Crna, PLLC

• Counselor in Nacogdoches, TX
• Providers in Nacogdoches, TX by specialty
• Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.