Adrienne Lorayne Blow, LMFT
Individual provider Active NPI Marriage & Family Therapist · Verona, WI
NPI 1003552845 · NPPES record last updated Sep 23, 2025
Key facts
- NPI
- 1003552845
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 2401-124 (WI)
- Practice address
- 524 W Verona Ave Ste 105
Verona, WI 53593-1443 - Phone
- (608) 845-2081
- Fax
- (608) 845-2065
- NPI assigned
- May 5, 2022
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Marriage and Family Therapist
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Safe Harbor Health LLC
Practice addresses (Care Compare)
524 W Verona Ave
Suite 105
Verona, WI 53593-1443
Phone 60884520811
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251002002071 | WI | Practitioner - Marriage and Family Therapist | 5395241905 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2401-124 | WI | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Safe Harbor Health, LLC | Single Specialty | Current |
Accepting new patients |
Locations
524 W Verona Ave
Ste 105
Verona, WI 53593
Phone (608) 845-2081
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist |
106H00000X | 2401-124 | WI | Yes |
Addresses
Primary practice location
524 W Verona Ave Ste 105
Verona, WI 53593-1443
Mailing address
524 W Verona Ave Ste 105
Verona, WI 53593-1443
Phone (608) 845-2081
Other providers in Verona, WI
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- Janet A Billerbeck
- Rebecca Ruth Birckhead
- Chadd David Black
- Maia Lauren Blas
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- Dana Sue Bohrer
- Gary Bongey
- Kelly J Borelli
- Amanda Janssen Borleske
All providers in Verona, WI · Marriage & Family Therapist in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 23, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.