MISTY CHANEL PRUITT LLMSW
NPI 1992660146
Counselor - Mental Health in Grand Rapids, MI

Q: What is Misty Pruitt's NPI number?

The NPI number for Misty Pruitt is 1992660146. It was assigned to this individual provider in the NPPES registry on December 19, 2025.

Q: What is Misty Pruitt's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Misty Pruitt was last updated on December 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since December 19, 2025

3167 KALAMAZOO AVE SE STE 116, GRAND RAPIDS, MI 49508(630) 696-3204 Get Directions Write a Review

NPPES record last updated: December 19, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Misty Chanel Pruitt Llmsw NPPES

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

MISTY CHANEL PRUITT LLMSW (NPI 1992660146) is an individual mental health provider in Grand Rapids, Michigan, licensed in Michigan (6851121165) and active in the NPI registry since December 2025.

NPPES Registry Identity

NPI1992660146

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameMISTY CHANEL PRUITTCredential: LLMSW

Location Address3167 KALAMAZOO AVE SE STE 116Grand Rapids, MI 49508-1475

Mailing Address3167 Kalamazoo Ave Se Ste 116Grand Rapids, MI 49508-1475 · (630) 696-3204

Phone(630) 696-3204

Sole ProprietorNo

Enumeration DateDecember 19, 2025

NPPES CertifiedDecember 19, 2025

✔ NPI 1992660146 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 MI · 6851121165

3167 KALAMAZOO AVE SE STE 116, Grand Rapids, MI 49508

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Other Providers at the Same Location NPPES

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

WITH PURPOSE COUNSELING

Social Worker (Clinical)

3167 KALAMAZOO AVE SE STE 116
GRAND RAPIDS, MI 49508

Kent County (616) 340-1892

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 Misty Pruitt's NPI number?

The NPI number for Misty Pruitt is 1992660146. It was assigned to this individual provider in the NPPES registry on December 19, 2025.

Where is Misty Pruitt located?

Misty Pruitt practices at 3167 Kalamazoo Ave SE Ste 116, Grand Rapids, MI 49508. The listed phone number is (630) 696-3204.

What is Misty 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 Misty Pruitt was last updated on December 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.