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Active NPI 1316157811 Individual Practitioner Female Practitioner

Amy Elizabeth Pruitt , LMFT

Counselor • Puyallup, WA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Amy Pruitt, LMFT is a certified Counselor practicing in Puyallup, WA. With approximately 3 years of clinical experience since completing medical education in 2023, Amy Pruitt delivers high-quality medical care to the local community at 1002 39TH AVE SW STE 208.

Amy Pruitt accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

1002 39th Ave Sw Ste 208

Puyallup, WA 983733805

Telephone 2533171737
Fax 2536973730
Associated Practice Facility / Clinic
🏢 Surf, Sand And Sage, Pllc Facility NPI 1134984917

Medicare Profile & Education

Medical School

Other

Graduation Year

2023

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Puyallup, WA

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
3 Yrs -0.7 yrs vs City Avg
City Avg: 3.7 Yrs
State Avg: 13.0 Yrs
Regional Practice Density
198 Specialists

Practicing in Puyallup, WA (11556 Statewide)

Telehealth Adoption Rate
0.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Pruitt (3 Years) 3 Yrs
Puyallup Specialty Average (3.7 Years) 3.7 Yrs

Medical Specialties & State Licenses

CMS Verified: 2024-02-16
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

State License WA CG60950866

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

Definition to come...

Marriage & Family Therapist

NUCC Taxonomy Code: 106H00000X

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
500663797 (OR)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Rainy Thompson

Counselor - Mental Health

NPI 1003154709
Amanda Watling

Counselor - Mental Health

NPI 1013267350
NPI 1013271014
Evan Heckler , LSW

Social Worker

NPI 1013363639

Licensed Social Worker

Angela Sage

Peer Specialist

NPI 1013484765
NPI 1023441946

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

18 Historical Events
📍
Updated Practice Location February 16, 2024

Registered at 1002 39TH AVE SW STE 208, PUYALLUP, WA 983733805 (Tel: 2533171737)

📍
Updated Business Mailing Address February 16, 2024

Registered at 1002 39TH AVE SW STE 208, PUYALLUP, WA 983733805 (Tel: 2533171737)

👤
Provider Name / Credentials Updated February 16, 2024

Recorded as AMY PRUITT, LMFT

📍
Updated Practice Location March 27, 2019

Registered at 325 E PIONEER, PUYALLUP, WA 983723265 (Tel: 2536978401)

📍
Updated Business Mailing Address March 27, 2019

Registered at 325 E PIONEER, PUYALLUP, WA 983723265 (Tel: 2536978400)

👤
Provider Name / Credentials Updated March 27, 2019

Recorded as AMY PRUITT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 27, 2019

Counselor (License #CG60950866 in WA)

NPI Profile Active September 22, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location September 22, 2017

Registered at 576 OLIVE ST, STE 307, EUGENE, OR 974012642 (Tel: 5413447303)

📍
Updated Business Mailing Address September 22, 2017

Registered at 576 OLIVE ST, STE 307, EUGENE, OR 974012642 (Tel: 5413447303)

👤
Provider Name / Credentials Updated September 22, 2017

Recorded as AMY PRUITT, L.M.F.T.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 22, 2017

Counselor

NPI Profile Active February 17, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location February 17, 2015

Registered at 576 OLIVE ST, STE 307, EUGENE, OR 974012642 (Tel: 5413447303)

📍
Updated Business Mailing Address February 17, 2015

Registered at 576 OLIVE ST, STE 307, EUGENE, OR 974012642 (Tel: 5413447303)

👤
Provider Name / Credentials Updated February 17, 2015

Recorded as AMY PRUITT, M.ED., M.F.T., QMHP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 17, 2015

Counselor

🟢
Initial NPI Registration & Enumeration May 23, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1316157811
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 23, 2007
Last Update: February 16, 2024
Sole Proprietor: Yes

Mailing Address

1002 39th Ave Sw Ste 208

Puyallup, WA 983733805

Phone: 2533171737

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.