JENNIFER HAINES-PRUITT LPC
NPI 1962948687
Counselor - Mental Health in Lithia Springs, GA

Active since January 19, 2017
561 THORNTON RD STE R, LITHIA SPRINGS, GA 30122(678) 653-6314 Get Directions Write a Review

NPPES record last updated: September 14, 2018. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Sep 14, 2018, Jan 19, 2017 (2 updates tracked since 2017).

About Jennifer Haines-pruitt Lpc NPPES

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

JENNIFER HAINES-PRUITT LPC (NPI 1962948687) is an individual mental health provider in Lithia Springs, Georgia, licensed in Georgia (LPC007776) and active in the NPI registry since January 2017. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1962948687
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJENNIFER HAINES-PRUITTCredential: LPC
Location Address561 THORNTON RD STE RLithia Springs, GA 30122-1558
Mailing Address5463 Stoneybrook Ct SeMableton, GA 30126-5625 · (937) 681-5630
Sole ProprietorNo
Enumeration DateJanuary 19, 2017
Last NPPES UpdateSeptember 14, 20182 updates tracked since enumeration
NPI 1962948687 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in GA · LPC007776
561 THORNTON RD STE R, Lithia Springs, GA 30122

Secondary Practice Locations 2

Location 15600 Stonewall Tell RdCollege Park, GA 30349-2418 · Phone (404) 665-8700
Location 2175 Emery HwyMacon, GA 31217-3692 · Phone (478) 803-7600

Other Identifiers 1

Medicaid1174512966GA

Other Providers at the Same Location NPPES 2

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

Marriage & Family Therapist
561 THORNTON RD STE R
LITHIA SPRINGS, GA 30122
Social Worker
561 THORNTON RD STE R
LITHIA SPRINGS, GA 30122

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 Jennifer Haines-pruitt's NPI number?

The NPI number for Jennifer Haines-pruitt is 1962948687. It was assigned to this individual provider in the NPPES registry on January 19, 2017.

Where is Jennifer Haines-pruitt located?

Jennifer Haines-pruitt practices at 561 Thornton Rd Ste R, Lithia Springs, GA 30122. The listed phone number is (678) 653-6314.

What is Jennifer Haines-pruitt's specialty?

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

When was this NPI record last updated?

The NPPES record for Jennifer Haines-pruitt was last updated on September 14, 2018. 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.