Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Stanley Jamar Pruitt

Individual provider Child Mental Illness Respite Care · NPI 1396801957

Mr. Stanley Jamar Pruitt is a Mental Health Counselor in Mesa, Arizona. Qualified in 2015, 11 years ago. Practices as a sole proprietor, works from 2 locations and accepts Medicare assignment.

Years since qualifying
11
In the registry since
2006
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

3707 E Southern Ave Ste 1051
Mesa, AZ 85206-6205
Phone: (480) 493-0092
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 922 E 10th St, Mesa, AZ 85203-5632 — (619) 370-8544

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X
Child Mental Illness Respite Care Taxonomy 385HR2055X

Record details

NPI number1396801957
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 28, 2006
Last updated in NPPESFebruary 7, 2025
Certification dateFebruary 7, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Mesa