Shawn Blakley, MSE, CADCIII
NPI 1417022468 · Addiction (Substance Use Disorder) Counselor · Green Bay, WI
Enrolled with Medicare as Practitioner - Mental Health Counselor · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shawn Blakley, MSE, CADCIII is a Addiction (Substance Use Disorder) Counselor provider in Green Bay, WI (NPI 1417022468).
Provider details
- NPI number
- 1417022468
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- MSE, CADCIII
- Sex
- Male
- Sole proprietor
- No
- License
- CADCIII (WI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-11-22
- Last updated
- 2025-09-11
Frequently asked questions
- What is Shawn Blakley's NPI number?
- Shawn Blakley's National Provider Identifier (NPI) is 1417022468, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shawn Blakley's specialty?
- Shawn Blakley is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor (Behavioral Health & Social Service Providers).
- Where is Shawn Blakley located?
- Shawn Blakley's practice location on file with NPPES is 130 E Walnut St, Green Bay, WI 54301-4239.
- What is Shawn Blakley's phone number?
- The practice phone number listed in the NPPES registry for Shawn Blakley is (920) 437-8256.
- Does Shawn Blakley accept Medicare?
- Shawn Blakley is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Shawn Blakley's NPI active?
- Yes — Shawn Blakley's NPI (1417022468) is active in the NPPES registry as of the last update on 2025-09-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.