1. Home
  2. Directory
  3. Wisconsin
  4. Kenosha
  5. Counselor
  6. NPI Profile

LA SHANDA TOLEFREE BA, MS
NPI 1003350422
Counselor - Professional in Kenosha, WI

Active since December 05, 2016PECOS Enrolled
7445 20TH AVE, KENOSHA, WI 53143(262) 358-3500(262) 360-2443 Get Directions Write a Review

NPPES record last updated: August 5, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 5, 2026, Jul 23, 2026, May 14, 2024 and 3 more (6 updates tracked since 2023).

About La Shanda Tolefree Ba, Ms NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LA SHANDA TOLEFREE BA, MS (NPI 1003350422) is an individual professional provider in Kenosha, Wisconsin, licensed in Wisconsin (8095-125) and active in the NPI registry since December 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1003350422
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameLA SHANDA TOLEFREECredential: BA, MS
Location Address7445 20TH AVEKenosha, WI 53143-5373
Mailing AddressPo Box 1013Kenosha, WI 53141-1013 · (262) 358-3500 · Fax (262) 360-2443
Phone(262) 358-3500
Fax(262) 360-2443
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateDecember 5, 2016
Last NPPES UpdateAugust 5, 20266 updates tracked since enumeration
NPPES CertifiedAugust 5, 2026
✔ NPI 1003350422 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in WI · 8095-125
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 17018131 (WI)
7445 20TH AVE, Kenosha, WI 53143
Open in Google Maps ↗

Other Identifiers 3

Medicaid100227567WI
Other17018131WI · Substance Abuse Counselor
Other8095125WI · Licensed Professional Counselor

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare), UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

La Shanda Tolefree Ba, Ms is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1951774405
PECOS Enrollment IDI20260805001723
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show La Shanda Tolefree reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Authentic Conversations Therapeutic Services
Same address
Professional
7445 20TH AVE
Kenosha, WI 53143
  • Reassigned Medicare billing, Wisconsin enrollment
NPI 1851165575 (414) 533-5915

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AUTHENTIC CONVERSATIONS THERAPEUTIC SERVICES
Counselor (Professional)
7445 20TH AVE
KENOSHA, WI 53143
Kenosha County (414) 533-5915

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is La Shanda Tolefree's NPI number?

The NPI number for La Shanda Tolefree is 1003350422. It was assigned to this individual provider in the NPPES registry on December 5, 2016.

Where is La Shanda Tolefree located?

La Shanda Tolefree practices at 7445 20th Ave, Kenosha, WI 53143. The listed phone number is (262) 358-3500.

What is La Shanda Tolefree's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is La Shanda Tolefree enrolled in Medicare?

Yes. La Shanda Tolefree is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for La Shanda Tolefree's services?

According to the CMS Revalidation Reassignment List (October 2026 release), La Shanda Tolefree reassigns Medicare benefits to Authentic Conversations Therapeutic Services (Kenosha, WI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for La Shanda Tolefree's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does La Shanda Tolefree accept?

Health plans from CareSource (Common Ground Healthcare) and UnitedHealthcare list La Shanda Tolefree as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for La Shanda Tolefree was last updated on August 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.