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COURTNEY AMBER PRUETT
NPI 1366136749
Counselor - Mental Health in Ponca City, OK

Active since June 07, 2023PECOS Enrolled
407 W SOUTH AVE, PONCA CITY, OK 74601(580) 749-5056 Get Directions Write a Review

NPPES record last updated: June 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Courtney Amber Pruett NPPES

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

COURTNEY AMBER PRUETT (NPI 1366136749) is an individual mental health provider in Ponca City, Oklahoma and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1366136749
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameCOURTNEY AMBER PRUETT
Location Address407 W SOUTH AVEPonca City, OK 74601-6133
Mailing Address407 W South AvePonca City, OK 74601-6133
Phone(580) 749-5056
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJune 7, 2023
NPPES CertifiedJune 7, 2023
✔ NPI 1366136749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
407 W SOUTH AVE, Ponca City, OK 74601
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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 (PECOS)

Courtney Amber Pruett is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1456830157
PECOS Enrollment IDI20260211003621
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 20

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

HEATHER DANIEL
Case Manager/Care Coordinator
407 W SOUTH AVE
PONCA CITY, OK 74601
Kay County (580) 749-5056
COURTNEY GALLIMORE
Case Manager/Care Coordinator
407 W SOUTH AVE
PONCA CITY, OK 74601
Kay County (918) 237-5155
NATALIE L TROUP
Social Worker (Clinical)
407 W SOUTH AVE
PONCA CITY, OK 74601
Kay County (918) 346-3307
RACHEL ANSTINE
Case Manager/Care Coordinator
407 W SOUTH AVE
PONCA CITY, OK 74601
Kay County (844) 458-2100
GRAND LAKE MENTAL HEALTH CENTER INC
Clinic/Center (Mental Health (Including Community Mental Health Center))
407 W SOUTH AVE
PONCA CITY, OK 74601
Kay County (580) 308-5515
MR. SHAUN MICHAEL ARANT
Peer Specialist
407 W SOUTH AVE
PONCA CITY, OK 74601
Kay County (580) 749-5056
MIGUEL LEONARDO SANCHEZ
Case Manager/Care Coordinator
407 W SOUTH AVE
PONCA CITY, OK 74601
Kay County (844) 458-2100
MRS. JAMIE DAWN PHILLIPS MS, LPC
Counselor (Mental Health)
407 W SOUTH AVE
PONCA CITY, OK 74601
Kay County (918) 549-8404

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 Courtney Pruett's NPI number?

The NPI number for Courtney Pruett is 1366136749. It was assigned to this individual provider in the NPPES registry on June 7, 2023.

Where is Courtney Pruett located?

Courtney Pruett practices at 407 W South Ave, Ponca City, OK 74601. The listed phone number is (580) 749-5056.

What is Courtney Pruett's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Courtney Pruett enrolled in Medicare?

Yes. Courtney Pruett is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Courtney Pruett was last updated on June 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.