MRS. DEBRA PRUYN LCSW, QMHP
NPI 1710032081
Social Worker - Clinical in Grants Pass, OR

Active since January 24, 2007PECOS EnrolledAccepts Medicare Assignment
1644 CARNAHAN DR, GRANTS PASS, OR 97527(541) 476-2373 Get Directions Write a Review

NPPES record last updated: May 1, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mrs. Debra Pruyn Lcsw, Qmhp NPPES

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

MRS. DEBRA PRUYN LCSW, QMHP (NPI 1710032081) is an individual clinical provider in Grants Pass, Oregon, licensed in Oregon (L8013) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1995).

NPPES Registry Identity

NPI1710032081
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. DEBRA PRUYNCredential: LCSW, QMHP
Location Address1644 CARNAHAN DRGrants Pass, OR 97527-4724
Mailing Address1215 Sw G StGrants Pass, OR 97526-2544 · (541) 476-2373
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateJanuary 24, 2007
Last NPPES UpdateMay 1, 2019
✔ NPI 1710032081 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in OR · L8013
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedSocial WorkerTaxonomy 104100000X · License 052056-1 (NY)
1644 CARNAHAN DR, Grants Pass, OR 97527

Other Identifiers 1

Medicaid02074697NY

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

Mrs. Debra Pruyn Lcsw, Qmhp 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 ID4385037001
PECOS Enrollment IDI20230315000320, I20230616000517
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 Reassignments

2

Medicare enrollment records show Debra Pruyn reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

1,791 mi
Clinical
10204 BODE ST STE B
Plainfield, IL 60585
  • Reassigned Medicare billing, Delaware, New York and Oregon enrollments
  • 5 clinicians in this Medicare group
Clinical
9520 63RD RD, SUITE J
Rego Park, NY 11374
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Terio Psychotherapy Services Lcsw PC
  • 9 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
392 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97527 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.96 – $166.64
Typical copayment $0.00 (range $13.74 – $41.66)
Most-billed visit code NA
Established Patient
$68.64 typical visit price
range $17.68 – $136.19
Typical copayment $17.16 (range $4.42 – $34.04)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 15

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

Peer Specialist
1644 CARNAHAN DR
GRANTS PASS, OR 97527
Counselor (Mental Health)
1644 CARNAHAN DR
GRANTS PASS, OR 97527
Counselor (Mental Health)
1644 CARNAHAN DR
GRANTS PASS, OR 97527
Community Based Residential Treatment Facility, Mental Illness
1644 CARNAHAN DR
GRANTS PASS, OR 97527
Counselor (Mental Health)
1644 CARNAHAN DR
GRANTS PASS, OR 97527
Counselor (Mental Health)
1644 CARNAHAN DR
GRANTS PASS, OR 97527
Counselor (Mental Health)
1644 CARNAHAN DR
GRANTS PASS, OR 97527
Counselor (Mental Health)
1644 CARNAHAN DR
GRANTS PASS, OR 97527

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 Debra Pruyn's NPI number?

The NPI number for Debra Pruyn is 1710032081. It was assigned to this individual provider in the NPPES registry on January 24, 2007.

Where is Debra Pruyn located?

Debra Pruyn practices at 1644 Carnahan Dr, Grants Pass, OR 97527. The listed phone number is (541) 476-2373.

What is Debra Pruyn's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Debra Pruyn enrolled in Medicare?

Yes. Debra Pruyn 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 organizations bill Medicare for Debra Pruyn's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Debra Pruyn reassigns Medicare benefits to 2 organizations: Bmsc Az LLC (Plainfield, IL) and Terio Psychotherapy Services Lcsw, P.C. (Rego Park, NY). Each 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 Debra Pruyn'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 Debra Pruyn was last updated on May 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.