Joseph Francis Prenosil V, MA, LPCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

CC02948 Issued in MN

Practice address

1784 132ND LN NE
Blaine, MN 55449-4138

Phone

(651) 755-1342

NPI assigned

Aug 23, 2023

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cornerstone Counseling of Palm Beach, PA

  • Clinical Social Worker
  • North Palm Beach, FL
  • NPI 1780008599
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1692748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692748800000",
    "number": "1497539092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1784 132ND LN NE",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554494138",
            "telephone_number": "651-755-1342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1784 132ND LN NE",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554494138",
            "telephone_number": "651-755-1342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRENOSIL",
        "first_name": "JOSEPH",
        "middle_name": "FRANCIS",
        "name_suffix": "V",
        "credential": "MA, LPCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-08-23",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "CC02948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Pisarcik
• Cynthia Marie Polk, REGISTERED NURSE
• Tanager Yvonne Polowchak, MA, LPCC
• Autumn Rose Popowski
• Gregory John Povolny, D.D.S.
• Prevent 7
• Primecare Connections
• Proactive Autism Therapy
• Professional Vision Care, PA
• Promising Educational Services Inc

• Mental Health Counselor in Blaine, MN
• Providers in Blaine, MN by specialty
• Mental Health Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.