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MRS. KRISTEN LYNN PRUITT MA, NCC
NPI 1366606253
Counselor - Mental Health in Orlando, FL

Active since July 10, 2008PECOS Enrolled
5766 S SEMORAN BLVD, ORLANDO, FL 32822(407) 896-2323(407) 896-7760 Get Directions Write a Review

NPPES record last updated: July 10, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mrs. Kristen Lynn Pruitt Ma, Ncc NPPES

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

MRS. KRISTEN LYNN PRUITT MA, NCC (NPI 1366606253) is an individual mental health provider in Orlando, Florida and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1366606253
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. KRISTEN LYNN PRUITTCredential: MA, NCC
Location Address5766 S SEMORAN BLVDOrlando, FL 32822-4818
Mailing Address5766 S Semoran BlvdOrlando, FL 32822-4818 · (407) 896-2323 · Fax (407) 896-7760
Phone(407) 896-2323
Fax(407) 896-7760
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateJuly 10, 2008
✔ NPI 1366606253 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
5766 S SEMORAN BLVD, Orlando, FL 32822
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Kristen Lynn Pruitt Ma, Ncc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID648746511
PECOS Enrollment IDI20260417001364
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 Kristen Pruitt reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sheppard Pratt Physicians, P.A.
798 mi
Psychiatry
6501 N CHARLES ST
Baltimore, MD 21204
  • Reassigned Medicare billing, Maryland enrollment
  • Medicare enrollment name: Sheppard Pratt Physicians PA
  • 187 clinicians in this Medicare group
NPI 1518990712 (410) 938-3150

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.

LAURA RENDON FINNELL
Counselor (Mental Health)
5766 S SEMORAN BLVD
ORLANDO, FL 32822
Orange County (407) 896-2323
CHILDREN'S HOME SOCIETY OF FLORIDA
Case Management
5766 S SEMORAN BLVD
ORLANDO, FL 32822
Orange County (407) 896-2323
BREANNA MACGREGOR
Social Worker
5766 S SEMORAN BLVD
ORLANDO, FL 32822
Orange County (689) 284-8585
MICHELE KLINE
Counselor (Mental Health)
5766 S SEMORAN BLVD
ORLANDO, FL 32822
Orange County (407) 896-2323
KRISTAL CLARK
Student in an Organized Health Care Education/Training Program
5766 S SEMORAN BLVD
ORLANDO, FL 32822
Orange County (802) 952-6666
JASMINE CICERON
Counselor (School)
5766 S SEMORAN BLVD
ORLANDO, FL 32822
Orange County (561) 563-4204
CRYSTAL COVINGTON
Social Worker (School)
5766 S SEMORAN BLVD
ORLANDO, FL 32822
Orange County (386) 295-8086
MRS. CHERYL DISTLER
Social Worker
5766 S SEMORAN BLVD
ORLANDO, FL 32822
Orange County (407) 896-2323

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 Kristen Pruitt's NPI number?

The NPI number for Kristen Pruitt is 1366606253. It was assigned to this individual provider in the NPPES registry on July 10, 2008.

Where is Kristen Pruitt located?

Kristen Pruitt practices at 5766 S Semoran Blvd, Orlando, FL 32822. The listed phone number is (407) 896-2323.

What is Kristen Pruitt's specialty?

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

Is Kristen Pruitt enrolled in Medicare?

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

Which organization bills Medicare for Kristen Pruitt's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kristen Pruitt reassigns Medicare benefits to Sheppard Pratt Physicians, P.A. (Baltimore, MD). 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 Kristen Pruitt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kristen Pruitt was last updated on July 10, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.