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ASHLEY PRUITT
NPI 1194579078
Counselor in Springfield, IL

Active since April 16, 2024PECOS EnrolledAccepts Medicare Assignment
1630 S STATE ST, SPRINGFIELD, IL 62704(217) 528-3694 Get Directions Write a Review

NPPES record last updated: April 16, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ashley Pruitt NPPES

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

ASHLEY PRUITT (NPI 1194579078) is an individual counselor in Springfield, Illinois, licensed in Illinois (178018417) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1194579078
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameASHLEY PRUITT
Location Address1630 S STATE STSpringfield, IL 62704-3682
Mailing Address617 W Woodland AveSpringfield, IL 62704-2834
Phone(217) 528-3694
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateApril 16, 2024
NPPES CertifiedApril 16, 2024
✔ NPI 1194579078 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in IL · 178018417
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
1630 S STATE ST, Springfield, IL 62704
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ashley Pruitt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7012408636
PECOS Enrollment IDI20251112000271
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.

Other Providers at the Same Location NPPES 4

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

LOCUST STREET RESOURCE CENTER
Clinic/Center (Mental Health (Including Community Mental Health Center))
1630 S STATE ST
SPRINGFIELD, IL 62704
Sangamon County (217) 854-3166
TIMOTHY PARSONS-HEATHER
Counselor (Mental Health)
1630 S STATE ST
SPRINGFIELD, IL 62704
Sangamon County (217) 528-3694
JABARI BAXTER
Counselor (Mental Health)
1630 S STATE ST
SPRINGFIELD, IL 62704
Sangamon County (217) 786-0770
THE CENTER FOR YOUTH AND FAMILY SOLUTIONS
Clinic/Center (Mental Health (Including Community Mental Health Center))
1630 S STATE ST
SPRINGFIELD, IL 62704
Sangamon County (217) 528-3694

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 Ashley Pruitt's NPI number?

The NPI number for Ashley Pruitt is 1194579078. It was assigned to this individual provider in the NPPES registry on April 16, 2024.

Where is Ashley Pruitt located?

Ashley Pruitt practices at 1630 S State St, Springfield, IL 62704. The listed phone number is (217) 528-3694.

What is Ashley Pruitt's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Ashley Pruitt enrolled in Medicare?

Yes. Ashley Pruitt is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Ashley Pruitt was last updated on April 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.