Heather W Prunty, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC007092 Issued in GA

Practice address

101 Katelyn Cir Ste C
Warner Robins, GA 31088-6484

Phone

(678) 664-8742

Fax

(844) 853-5737

NPI assigned

Aug 21, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Full Destiny Counseling, LLC

  • Mental Health Counselor
  • Warner Robins, GA
  • NPI 1336039858
  NPD Authorized official
• Allwell Behavioral

  • Psychiatry Physician
  • Warner Robins, GA
  • NPI 1790957348
  NPD (past)

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

{
    "created_epoch": "1377043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617062400000",
    "number": "1881028215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 BRODERICK CIR",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310882415",
            "telephone_number": "478-919-8904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 KATELYN CIR STE C",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310886484",
            "telephone_number": "678-664-8742",
            "fax_number": "844-853-5737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRUNTY",
        "first_name": "HEATHER",
        "middle_name": "W",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-21",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "GA",
            "license": "LPC007092",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC007092",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "GA",
            "license": "LPC007092",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC007092",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003152827A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Proinfiniti Solutions LLC
• Prolific Home Care LLC
• Providence Psychotherapy LLC
• Pruitthealth - the Lodge LLC
• Pruitthealth Warner Robins, LLC
• Psych Therapy LLC
• Publix Super Markets Inc
• Dannielle Rose Puckett, PTA
• Ryan J Pugh, PHARMD
• Pulmonary Associates, LLC

• Professional Counselor in Warner Robins, GA
• Providers in Warner Robins, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.