Adrien Prah, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

10109-125 Issued in WI

Practice address

21005 Watertown Rd Ste a
Waukesha, WI 53186-1822

Phone

(262) 207-4174

NPI assigned

Oct 31, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Cornerstone Counseling Services, Inc

  dba LifeStance Health

  • Mental Health Counselor
  • Brookfield, WI
  • NPI 1033127246
  NPD

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

{
    "created_epoch": "1667174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697500800000",
    "number": "1720795669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2776A S QUINCY AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532072142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21005 WATERTOWN RD STE A",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531861822",
            "telephone_number": "262-207-4174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRAH",
        "first_name": "ADRIEN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-31",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "10109-125",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "10109-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Endpoint",
            "affiliation": "N",
            "address_1": "21005 Watertown Rd Ste A",
            "city": "Waukesha",
            "state": "WI",
            "country_code": "US",
            "postal_code": "531861822",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jennifer Potratz
• Cynthia Nmi Potter, RN
• Jenna M Potters, RN
• Rebecca Potts, PMHNP-BC
• Practice Management Group Inc (Eagle Medical Center)
• Matthew A. Pratt, LPC-IT
• Premier Pediatrics Wisconsin LLC (Thrive Pediatrics)
• Presbyterian Homes Hospice Inc
• Presbyterian Homes of Wisconsin, Inc. (Avalon Square)
• Stacy Presley, CSW

• Professional Counselor in Waukesha, WI
• Providers in Waukesha, WI by specialty
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.