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MRS. KAREN T. PROCHASKA LPC-SAS
NPI 1700159217
Counselor - Professional in Wausau, WI

Active since February 14, 2012PECOS Enrolled
630 S 36TH AVE, WAUSAU, WI 54401(715) 842-9500(715) 848-0425 Get Directions Write a Review

NPPES record last updated: June 18, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 18, 2024, May 12, 2020 (2 updates tracked since 2020).

About Mrs. Karen T. Prochaska Lpc-sas NPPES

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

MRS. KAREN T. PROCHASKA LPC-SAS (NPI 1700159217) is an individual professional provider in Wausau, Wisconsin, licensed in Wisconsin (5013-125) and active in the NPI registry since February 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700159217
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. KAREN T. PROCHASKACredential: LPC-SAS
Location Address630 S 36TH AVEWausau, WI 54401-3930
Mailing Address630 S 36th AveWausau, WI 54401-3930 · (715) 842-9500 · Fax (715) 848-0425
Phone(715) 842-9500
Fax(715) 848-0425
Sole ProprietorNo
Enumeration DateFebruary 14, 2012
Last NPPES UpdateJune 18, 20242 updates tracked since enumeration
NPPES CertifiedJune 18, 2024
✔ NPI 1700159217 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in WI · 5013-125
630 S 36TH AVE, Wausau, WI 54401
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Aspirus Health Plan, HealthPartners, Quartz 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 (PECOS)

Mrs. Karen T. Prochaska Lpc-sas is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Karen Prochaska reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Behavioral Health Clinic, LLC
Same address
Clinical
630 S 36TH AVE
Wausau, WI 54401
  • Reassigned Medicare billing, Wisconsin enrollment
  • 75 clinicians in this Medicare group
NPI 1831442359 (715) 842-9500

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.

LAUREN WATTERS MS CCC-SLP
Speech-Language Pathologist
630 S 36TH AVE
WAUSAU, WI 54401
Marathon County (855) 607-8242
MELANIE STRAND-GLATCZAK CSAC. LPC
Counselor (Addiction (Substance Use Disorder))
630 S 36TH AVE
WAUSAU, WI 54401
Marathon County (715) 842-9500
BRIANNA ROSENOW PSY.D.
Psychologist (Clinical)
630 S 36TH AVE
WAUSAU, WI 54401
Marathon County (855) 607-8242
SHANNON COLLEEN HUFF ED.S.
Psychologist
630 S 36TH AVE
WAUSAU, WI 54401
Marathon County (715) 842-9500
KAREN SPENCER PSYD
Psychologist (Clinical)
630 S 36TH AVE
WAUSAU, WI 54401
Marathon County (715) 650-2956
NATASHA SUZANNE MALLAK ED.S.
Psychologist (School)
630 S 36TH AVE
WAUSAU, WI 54401
Marathon County (715) 842-9500
JOHN ROHERTY LCSW, MSW
Social Worker (Clinical)
630 S 36TH AVE
WAUSAU, WI 54401
Marathon County (715) 842-9500
DR. ABIGAIL IDA REAM PSY.D.
Psychologist
630 S 36TH AVE
WAUSAU, WI 54401
Marathon County (855) 607-8242

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 Karen Prochaska's NPI number?

The NPI number for Karen Prochaska is 1700159217. It was assigned to this individual provider in the NPPES registry on February 14, 2012.

Where is Karen Prochaska located?

Karen Prochaska practices at 630 S 36th Ave, Wausau, WI 54401. The listed phone number is (715) 842-9500.

What is Karen Prochaska's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Karen Prochaska enrolled in Medicare?

Yes. Karen Prochaska is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Karen Prochaska's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karen Prochaska reassigns Medicare benefits to Behavioral Health Clinic, LLC (Wausau, WI). The 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 Karen Prochaska's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Karen Prochaska accept?

Health plans from Aspirus Health Plan, HealthPartners, Quartz, Security Health Plan and UnitedHealthcare list Karen Prochaska 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 Karen Prochaska was last updated on June 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.