BLAKE PROCHNOW
NPI 1164093860
Counselor - Addiction (Substance Use Disorder) in Prescott, WI

Active since July 05, 2021
1380 WALNUT ST, PRESCOTT, WI 54021(612) 382-3458 Get Directions Write a Review

NPPES record last updated: July 5, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Blake Prochnow NPPES

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

BLAKE PROCHNOW (NPI 1164093860) is an individual addiction (substance use disorder) provider in Prescott, Wisconsin and active in the NPI registry since July 2021.

NPPES Registry Identity

NPI1164093860
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameBLAKE PROCHNOW
Location Address1380 WALNUT STPrescott, WI 54021-1010
Mailing Address1900 Silver Lake Rd Nw Ste 110New Brighton, MN 55112-1789 · (651) 379-1752
Sole ProprietorNo
Enumeration DateJuly 5, 2021
NPPES CertifiedJuly 5, 2021
NPI 1164093860 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
1380 WALNUT ST, Prescott, WI 54021

Other Identifiers 1

Medicaid540321MN

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 Blake Prochnow's NPI number?

The NPI number for Blake Prochnow is 1164093860. It was assigned to this individual provider in the NPPES registry on July 5, 2021.

Where is Blake Prochnow located?

Blake Prochnow practices at 1380 Walnut St, Prescott, WI 54021. The listed phone number is (612) 382-3458.

What is Blake Prochnow's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Blake Prochnow was last updated on July 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.