Jennifer Haines-pruitt, LPC in Lithia Springs, GA

Jennifer Haines-pruitt, LPC is a medicare enrolled "Counselor - Mental Health" provider in Lithia Springs, Georgia. Her current practice location is 561 Thornton Rd Ste R, Lithia Springs, Georgia. You can reach out to her office (for appointments etc.) via phone at (678) 653-6314.

Jennifer Haines-pruitt is licensed to practice in Georgia (license number LPC007776) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1962948687.

Contact Information

	Jennifer Haines-pruitt, LPC
	561 Thornton Rd Ste R, Lithia Springs, GA 30122-1558
	(678) 653-6314
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jennifer Haines-pruitt
Gender	Female
Speciality	Counselor - Mental Health
Location	561 Thornton Rd Ste R, Lithia Springs, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1962948687
Provider Enumeration Date: 01/19/2017
Last Update Date: 09/14/2018

Medicare PECOS Information:

PECOS PAC ID: 6406208461
Enrollment ID: I20240116002137

Medical Identifiers

Medical identifiers for Jennifer Haines-pruitt such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962948687	NPI	-	NPPES
1174512966	Medicaid	GA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	LPC007776 (Georgia)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jennifer Haines-pruitt allows following entities to bill medicare on her behalf.

Entity Name	Dekalb Community Service Board
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073686978 PECOS PAC ID: 8527958487 Enrollment ID: O20040316001099

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jennifer Haines-pruitt is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Jennifer Haines-pruitt, LPC 5463 Stoneybrook Ct Se, Mableton, GA 30126-5625 Ph: (937) 681-5630	Jennifer Haines-pruitt, LPC 561 Thornton Rd Ste R, Lithia Springs, GA 30122-1558 Ph: (678) 653-6314

Reviews and Comments

Counselor in Lithia Springs, GA

Miss Dadron Deon Harris, PHD Counselor Medicare: Not Enrolled in Medicare Practice Location: 670 Thornton Way Ste A, Lithia Springs, GA 30122 Phone: 404-375-2694 Fax: 877-743-3508
Daphene Elijah, LPN Counselor Medicare: Not Enrolled in Medicare Practice Location: 870 Crestmark Dr Ste 203, Lithia Springs, GA 30122 Phone: 844-300-0102
Antonio D Lacey, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1324 Crestmark Blvd, Lithia Springs, GA 30122 Phone: 770-728-3468 Fax: 404-591-6748
Alexandria Hodges, LPC Counselor Medicare: Medicare Enrolled Practice Location: 644 Thornton Rd, Lithia Springs, GA 30122 Phone: 678-855-9043
Ms. Diana C Harris, LPC, CPCS Counselor Medicare: Not Enrolled in Medicare Practice Location: 561 Thornton Rd. Unit R, Lithia Springs, GA 30122 Phone: 678-933-3795 Fax: 770-941-5675
Rhonda Denise Baker Crouch, Counselor Medicare: Not Enrolled in Medicare Practice Location: 618 Thornton Rd Ste 3-113, Lithia Springs, GA 30122 Phone: 678-653-2311
Ms. Jessica Drew, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2645 Lee Rd Ste C-3, Pmb 227, Lithia Springs, GA 30122 Phone: 770-851-6869

Jennifer Haines-pruitt, LPC - Medicare Counselor in Lithia Springs, GA