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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ETHAN PRUSSE
NPI 1023905924
Case Manager/Care Coordinator in Tooele, UT

Active since June 23, 2025
100 S 1000 W, TOOELE, UT 84074(888) 949-4864 Get Directions Write a Review

NPPES record last updated: July 2, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ethan Prusse NPPES

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

ETHAN PRUSSE (NPI 1023905924) is an individual case manager/care coordinator provider in Tooele, Utah, licensed in Utah (F25-125714) and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1023905924
Entity TypeIndividualMale
Primary Taxonomy171M00000X
Provider Legal NameETHAN PRUSSE
Location Address100 S 1000 WTooele, UT 84074-4010
Mailing Address3725 W 4100 S Ste 201West Valley City, UT 84120-6490
Phone(888) 949-4864
Sole ProprietorNo
Enumeration DateJune 23, 2025
Last NPPES UpdateJuly 2, 2026
NPPES CertifiedJuly 2, 2026
✔ NPI 1023905924 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
License✔ Licensed in UT · F25-125714
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
100 S 1000 W, Tooele, UT 84074
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Other Providers at the Same Location NPPES 20

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

SABRINA LYNN JOHNSON
Case Manager/Care Coordinator
100 S 1000 W
TOOELE, UT 84074
Tooele County (888) 949-4864
IGOR VIDOVIC
Community Health Worker
100 S 1000 W
TOOELE, UT 84074
Tooele County (435) 843-3520
STEVEN EARL BARNEY
Community Health Worker
100 S 1000 W
TOOELE, UT 84074
Tooele County (435) 843-3520
MS. MICHELLE ELIZABETH KINDER SSW
Counselor (Mental Health)
100 S 1000 W
TOOELE, UT 84074
Tooele County (435) 843-3520
ABIGAIL CLAWSON
Social Worker
100 S 1000 W
TOOELE, UT 84074
Tooele County (888) 949-4864
DR. THOMAS MICHAEL REID M.D.
Psychiatry & Neurology (Psychiatry)
100 S 1000 W
TOOELE, UT 84074
Tooele County (435) 843-3520
RISPAH OTIENO
Peer Specialist
100 S 1000 W
TOOELE, UT 84074
Tooele County (888) 949-4864
ANGELA BROWN
Community Health Worker
100 S 1000 W
TOOELE, UT 84074
Tooele County (888) 949-4864

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 Ethan Prusse's NPI number?

The NPI number for Ethan Prusse is 1023905924. It was assigned to this individual provider in the NPPES registry on June 23, 2025.

Where is Ethan Prusse located?

Ethan Prusse practices at 100 S 1000 W, Tooele, UT 84074. The listed phone number is (888) 949-4864.

What is Ethan Prusse's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Ethan Prusse was last updated on July 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 37 days 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.