JAMESA PRUITT
NPI 1104585306
Counselor - Professional in Chicago, IL

Active since December 15, 2021PECOS Enrolled
6303 N CLARK ST, CHICAGO, IL 60660(773) 293-7599 Get Directions Write a Review

NPPES record last updated: December 17, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jamesa Pruitt NPPES

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

JAMESA PRUITT (NPI 1104585306) is an individual professional provider in Chicago, Illinois, licensed in Illinois (178017138) and active in the NPI registry since December 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1104585306
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJAMESA PRUITT
Location Address6303 N CLARK STChicago, IL 60660-1203
Mailing Address7101 N Cicero Ave Ste 202Lincolnwood, IL 60712-2143 · (773) 433-6210 · Fax (866) 744-0950
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateDecember 15, 2021
Last NPPES UpdateDecember 17, 2021
NPPES CertifiedDecember 17, 2021
✔ NPI 1104585306 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 IL · 178017138
6303 N CLARK ST, Chicago, IL 60660

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jamesa Pruitt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2668939398
PECOS Enrollment IDI20260826003115
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 Jamesa Pruitt reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Professional
1516 SCOTT CRES
Flossmoor, IL 60422
  • Reassigned Medicare billing, Illinois enrollment

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 13

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

Nurse Practitioner (Adult Health)
6303 N CLARK ST
CHICAGO, IL 60660
Dietitian, Registered
6303 N CLARK ST
CHICAGO, IL 60660
Social Worker
6303 N CLARK ST
CHICAGO, IL 60660
Case Manager/Care Coordinator
6303 N CLARK ST
CHICAGO, IL 60660
Physical Therapist
6303 N CLARK ST
CHICAGO, IL 60660
Case Manager/Care Coordinator
6303 N CLARK ST
CHICAGO, IL 60660
Health and Wellness Coach
6303 N CLARK ST
CHICAGO, IL 60660
Clinic/Center (Mental Health (Including Community Mental Health Center))
6303 N CLARK ST
CHICAGO, IL 60660

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jamesa Pruitt's NPI number?

The NPI number for Jamesa Pruitt is 1104585306. It was assigned to this individual provider in the NPPES registry on December 15, 2021.

Where is Jamesa Pruitt located?

Jamesa Pruitt practices at 6303 N Clark St, Chicago, IL 60660. The listed phone number is (773) 293-7599.

What is Jamesa Pruitt's specialty?

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

Is Jamesa Pruitt enrolled in Medicare?

Yes. Jamesa Pruitt is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jamesa Pruitt's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jamesa Pruitt reassigns Medicare benefits to Therapy Cubed LLC (Flossmoor, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jamesa Pruitt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jamesa Pruitt accept?

Health plans from Oscar Health list Jamesa Pruitt as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jamesa Pruitt was last updated on December 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.