MR. STANLEY JAMAR PRUITT
NPI 1396801957
Counselor - Professional in Mesa, AZ
About Mr. Stanley Jamar Pruitt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. STANLEY JAMAR PRUITT (NPI 1396801957) is an individual professional provider in Mesa, Arizona and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Mesa, and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mr. Stanley Jamar 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.
Medicare Billing Reassignment
Medicare enrollment records show Stanley Pruitt reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Phoenix, AZ 85015
- Reassigned Medicare billing, Arizona 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
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Stanley Pruitt's NPI number?
The NPI number for Stanley Pruitt is 1396801957. It was assigned to this individual provider in the NPPES registry on December 28, 2006.
Where is Stanley Pruitt located?
Stanley Pruitt practices at 3707 E Southern Ave Ste 1051, Mesa, AZ 85206. The listed phone number is (480) 493-0092.
What is Stanley Pruitt's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Stanley Pruitt enrolled in Medicare?
Yes. Stanley 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.
Which organization bills Medicare for Stanley Pruitt's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stanley Pruitt reassigns Medicare benefits to Dezerve Counseling LLC (Phoenix, AZ). 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 Stanley Pruitt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Stanley Pruitt accept?
Health plans from Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc, Imperial Insurance Companies, Inc. and Oscar Health Plan, Inc. and 1 other insurer list Stanley 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 Stanley Pruitt was last updated on February 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.
# Mr. Stanley Jamar Pruitt · NPI 1396801957
Professional provider in Mesa, Arizona. Individual provider, active in the CMS NPPES registry since December 28, 2006.
## Identity
- **NPI:** 1396801957 (Entity type: Individual)
- **Enumerated:** December 28, 2006
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3707 E SOUTHERN AVE STE 1051, Mesa, AZ 85206-6205
- **Phone:** (480) 493-0092
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Dezerve Counseling LLC (NPI 1396588521, Phoenix, AZ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** February 7, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1396801957) · Data from the CMS NPPES public registry.