TAMMY L PRUETT-WARE LPC
NPI 1083566111
Counselor - Professional in Gloucester, VA

Q: What is Tammy Pruett-ware's NPI number?

The NPI number for Tammy Pruett-ware is 1083566111. It was assigned to this individual provider in the NPPES registry on February 11, 2026.

Q: What is Tammy Pruett-ware's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Tammy Pruett-ware was last updated on February 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 11, 2026PECOS Enrolled

9228 GEORGE WASHINGTON MEMORIAL HWY, GLOUCESTER, VA 23061(804) 695-8120(804) 695-8122 Get Directions Write a Review

NPPES record last updated: February 11, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Tammy L Pruett-ware Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TAMMY L PRUETT-WARE LPC (NPI 1083566111) is an individual professional provider in Gloucester, Virginia, licensed in Virginia (0701015871) and active in the NPI registry since February 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1083566111

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameTAMMY L PRUETT-WARECredential: LPC

Location Address9228 GEORGE WASHINGTON MEMORIAL HWYGloucester, VA 23061-4162

Mailing Address9228 George Washington Memorial HwyGloucester, VA 23061-4162 · (804) 695-8120 · Fax (804) 695-8122

Phone(804) 695-8120

Fax(804) 695-8122

Sole ProprietorYes

Medical School CMSOtherGraduated 2022

Enumeration DateFebruary 11, 2026

NPPES CertifiedFebruary 11, 2026

✔ NPI 1083566111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in VA · 0701015871

9228 GEORGE WASHINGTON MEMORIAL HWY, Gloucester, VA 23061

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tammy L Pruett-ware Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9335622521

PECOS Enrollment IDI20260316003220

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Tammy Pruett-ware reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Middle Peninsula Northern Neck Mental Health & Retardation

Same address

Mental Health (Including Community Mental Health Center)

9228 GEORGE WASHINGTON MEMORIAL HWY
Gloucester, VA 23061

Reassigned Medicare billing, Virginia enrollment
54 clinicians in this Medicare group

NPI 1497717615 (804) 693-5068

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CELESTE CARMODY LCSW

Social Worker (Clinical)