MR. STANLEY JAMAR PRUITT
NPI 1396801957
Counselor - Professional in Mesa, AZ

Active since December 28, 2006PECOS EnrolledAccepts Medicare Assignment
3707 E SOUTHERN AVE STE 1051, MESA, AZ 85206(480) 493-0092 Get Directions Write a Review

NPPES record last updated: February 7, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 7, 2025, Nov 15, 2024 (2 updates tracked since 2024).

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

NPI1396801957
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. STANLEY JAMAR PRUITT
Location Address3707 E SOUTHERN AVE STE 1051Mesa, AZ 85206-6205
Mailing Address922 E 10th StMesa, AZ 85203-5632 · (619) 370-8544 · Fax (480) 641-5768
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateDecember 28, 2006
Last NPPES UpdateFebruary 7, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 7, 2025
NPI 1396801957 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
3707 E SOUTHERN AVE STE 1051, Mesa, AZ 85206

Secondary Practice Location 1

Location 1922 E 10th StMesa, AZ 85203-5632 · Phone (619) 370-8544 · Fax (480) 641-5768

Accepted Insurance

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

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.

PECOS PAC ID3375082100
PECOS Enrollment IDI20240826000644
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

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

Counselor (Mental Health)
3707 E SOUTHERN AVE STE 1051
MESA, AZ 85206

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.

What insurance does Stanley Pruitt accept?

Health plans from Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc., Oscar Health Plan, Inc. and UnitedHealthcare 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 17 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.