JOLENE ROSE BLAHA LCSW
NPI 1194569384
Social Worker - Clinical in Juneau, WI

Q: What is Jolene Blaha's NPI number?

The NPI number for Jolene Blaha is 1194569384. It was assigned to this individual provider in the NPPES registry on June 21, 2024. The provider is also known as Jolene Rose Obrion Apsw.

Q: What is Jolene Blaha's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Jolene Blaha was last updated on April 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.

Active since June 21, 2024PECOS EnrolledAccepts Medicare Assignment

199 COUNTY ROAD DF FL 3, JUNEAU, WI 53039(920) 386-3500(920) 386-4564 Get Directions Write a Review

NPPES record last updated: April 10, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 10, 2026, Jul 29, 2024, Jun 21, 2024 (3 updates tracked since 2024).

On this page

About Jolene Rose Blaha Lcsw NPPES

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

JOLENE ROSE BLAHA LCSW (NPI 1194569384) is an individual clinical provider in Juneau, Wisconsin, licensed in Wisconsin (12857-123) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1194569384

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameJOLENE ROSE BLAHACredential: LCSW

Location Address199 COUNTY ROAD DF FL 3Juneau, WI 53039-9512

Mailing Address590 River Rd Apt 5Columbus, WI 53925-1722 · (920) 350-2866

Phone(920) 386-3500

Fax(920) 386-4564

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateJune 21, 2024

Last NPPES UpdateApril 10, 20263 updates tracked since enumeration

NPPES CertifiedApril 10, 2026

✔ NPI 1194569384 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in WI · 12857-123

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

199 COUNTY ROAD DF FL 3, Juneau, WI 53039

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Other Names 1

Former Name (1)Jolene Rose Obrion Apsw

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Dean Health Plan, Network Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jolene Rose Blaha Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4688140544

PECOS Enrollment IDI20260417001219

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jolene Blaha reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

County Of Dodge

Same address

Mental Health (Including Community Mental Health Center)

199 COUNTY ROAD DF, 3RD FLOOR
Juneau, WI 53039

Reassigned Medicare billing, Wisconsin enrollment
14 clinicians in this Medicare group

NPI 1871508515 (920) 386-3500

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53039 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $53.90 – $163.24

Typical copayment $0.00 (range $13.47 – $40.81)

Most-billed visit code NA

Established Patient

$67.37 typical visit price

range $17.40 – $133.76

Typical copayment $16.84 (range $4.35 – $33.44)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 14

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

SHELLI CUPERY APSW

Social Worker