AMY PROUTY LPC, CSAC
NPI 1295132702
Counselor - Professional in Jefferson, WI
About Amy Prouty Lpc, Csac NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AMY PROUTY LPC, CSAC (NPI 1295132702) is an individual professional provider in Jefferson, Wisconsin, licensed in Wisconsin (6292-125) and active in the NPI registry since November 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses 2
Accepted 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
Amy Prouty Lpc, Csac 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.
Medicare Billing Reassignments
2Medicare enrollment records show Amy Prouty reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Jefferson, WI 53549
- Reassigned Medicare billing, Wisconsin enrollment
- 25 clinicians in this Medicare group
Whitewater, WI 53190
- Reassigned Medicare billing, Wisconsin enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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 Amy Prouty's NPI number?
The NPI number for Amy Prouty is 1295132702. It was assigned to this individual provider in the NPPES registry on November 26, 2014.
Where is Amy Prouty located?
Amy Prouty practices at 1541 Annex Rd, Jefferson, WI 53549. The listed phone number is (920) 674-3105.
What is Amy Prouty's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Amy Prouty enrolled in Medicare?
Yes. Amy Prouty is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Amy Prouty's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Amy Prouty reassigns Medicare benefits to 2 organizations: Jefferson County (Jefferson, WI) and Healing Lotus Mental Health LLC (Whitewater, WI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Amy Prouty's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Amy Prouty accept?
Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Dean Health Plan, Group Health Cooperative-SCW and MercyCare and 3 other insurers list Amy Prouty as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Amy Prouty was last updated on February 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Amy Prouty, LPC, CSAC · NPI 1295132702
Professional provider in Jefferson, Wisconsin. Individual provider, active in the CMS NPPES registry since November 26, 2014.
## Identity
- **NPI:** 1295132702 (Entity type: Individual)
- **Enumerated:** November 26, 2014
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 6292-125 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 1541 ANNEX RD, Jefferson, WI 53549-9803
- **Phone:** (920) 674-3105
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Jefferson County (NPI 1275614919, Jefferson, WI); Healing Lotus Mental Health LLC (NPI 1245004548, Whitewater, WI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** February 25, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1295132702) · Data from the CMS NPPES public registry.