JAMESA PRUITT
NPI 1104585306
Counselor - Professional in Chicago, IL

Active since December 15, 2021
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: August 02, 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.

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
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

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 (Clinical)
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.

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.