Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amy Prouty, LPC, CSAC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1295132702

Amy Prouty, LPC, CSAC is a Mental Health Counselor in Jefferson, Wisconsin. Qualified in 2014, 12 years ago. Practices with Jefferson County, a 20-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
12
Licensed in
WI
In the registry since
2014
Specialties on file
2
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

1541 Annex Rd
Jefferson, WI 53549-9803
Phone: (920) 674-3105
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 6292-125 (WI)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X

Record details

NPI number1295132702
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC , CSAC
Sole proprietorNo
NPI enumeratedNovember 26, 2014
Last updated in NPPESFebruary 25, 2025
Certification dateFebruary 25, 2025
Mailing address1541 Annex Rd, Jefferson, WI 53549-9803

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Jefferson County — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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