SHAWN THORNTON BLAKLEY MSE, CADCIII
NPI 1417022468
Counselor - Addiction (Substance Use Disorder) in Green Bay, WI
About Shawn Thornton Blakley Mse, Cadciii NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHAWN THORNTON BLAKLEY MSE, CADCIII (NPI 1417022468) is an individual addiction (substance use disorder) provider in Green Bay, Wisconsin, licensed in Wisconsin (CADCIII) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1991).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Shawn Thornton Blakley Mse, Cadciii 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.
Other Providers at the Same Location NPPES 17
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GREEN BAY, WI 54301
GREEN BAY, WI 54301
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 Shawn Blakley's NPI number?
The NPI number for Shawn Blakley is 1417022468. It was assigned to this individual provider in the NPPES registry on November 22, 2006.
Where is Shawn Blakley located?
Shawn Blakley practices at 130 E Walnut St Suite 706, Green Bay, WI 54301. The listed phone number is (920) 437-8256.
What is Shawn Blakley's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.
Is Shawn Blakley enrolled in Medicare?
Yes. Shawn Blakley 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.
What insurance does Shawn Blakley accept?
Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), HealthPartners, Medica and Network Health and 2 other insurers list Shawn Blakley 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 Shawn Blakley was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Shawn Thornton Blakley, MSE, CADCIII · NPI 1417022468
Addiction (Substance Use Disorder) provider in Green Bay, Wisconsin. Individual provider, active in the CMS NPPES registry since November 22, 2006.
## Identity
- **NPI:** 1417022468 (Entity type: Individual)
- **Enumerated:** November 22, 2006
- **Primary specialty:** Counselor - Addiction (Substance Use Disorder) · taxonomy 101YA0400X
- **State license:** CADCIII (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 130 E WALNUT ST, SUITE 706, Green Bay, WI 54301-4239
- **Phone:** (920) 437-8256 · **Fax:** (920) 437-1188
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 1991
## Record status
- **NPPES last updated:** September 11, 2025
- **Other identifiers:** Medicaid 39626900 (WI)
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Source: [NPI Profile](https://npiprofile.com/npi/1417022468) · Data from the CMS NPPES public registry.