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TONYA LAWFER MS, LPC/SUD
NPI 1174866685
Counselor - Addiction (Substance Use Disorder) in Madison, WI

Active since April 03, 2013PECOS EnrolledAccepts Medicare Assignment
1102 S PARK ST, MADISON, WI 53715(608) 282-8270(608) 287-5992 Get Directions Write a Review

NPPES record last updated: March 28, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 6, 2021, Jul 29, 2019, Aug 19, 2016 (3 updates tracked since 2016).

About Tonya Lawfer Ms, Lpc/sud NPPES

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

TONYA LAWFER MS, LPC/SUD (NPI 1174866685) is an individual addiction (substance use disorder) provider in Madison, Wisconsin, licensed in Wisconsin (5869) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1174866685
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameTONYA LAWFERCredential: MS, LPC/SUD
Location Address1102 S PARK STMadison, WI 53715-1708
Mailing Address7974 Uw Health CtMiddleton, WI 53562-5531
Phone(608) 282-8270
Fax(608) 287-5992
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateApril 3, 2013
Last NPPES UpdateMarch 28, 20243 updates tracked since enumeration
NPPES CertifiedMarch 28, 2024
✔ NPI 1174866685 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in WI · 5869
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
1102 S PARK ST, Madison, WI 53715
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Dean Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tonya Lawfer Ms, Lpc/sud is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1759733223
PECOS Enrollment IDI20240119002817
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 Tonya Lawfer reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Wisconsin Medical Foundation, Inc
7.1 mi
Multi-Specialty
7974 UW HEALTH COURT
Middleton, WI 53562
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2,832 clinicians in this Medicare group
NPI 1598784555 (608) 829-5485

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 20

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

CAITLIN J REGNER MD
Family Medicine
1102 S PARK ST
MADISON, WI 53715
Dane County (608) 263-3111
LEA GARDINER RN
Nurse Practitioner (Psychiatric/Mental Health)
1102 S PARK ST
MADISON, WI 53715
Dane County (608) 282-8270
ALLISON PLUMMER MSSW
Counselor (Addiction (Substance Use Disorder))
1102 S PARK ST
MADISON, WI 53715
Dane County (608) 282-8270
JOSE MANUEL CARRILLO MD
Family Medicine
1102 S PARK ST
MADISON, WI 53715
Dane County (608) 263-3111
JULITA ANNA JANKOWSKA LICENSED PROFESSIONA
Counselor (Professional)
1102 S PARK ST
MADISON, WI 53715
Dane County (608) 282-8270
KETTY THERTUS M.D.
Psychiatry & Neurology (Psychiatry)
1102 S PARK ST
MADISON, WI 53715
Dane County (608) 282-8270
RHONDA L SAGER MA, BA, SAC-IT
Counselor (Addiction (Substance Use Disorder))
1102 S PARK ST
MADISON, WI 53715
Dane County (608) 282-8270
DR. YOHUALLI BALDERAS-MEDINA ANAYA M.D.
Family Medicine
1102 S PARK ST
MADISON, WI 53715
Dane County (608) 263-3111

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 Tonya Lawfer's NPI number?

The NPI number for Tonya Lawfer is 1174866685. It was assigned to this individual provider in the NPPES registry on April 3, 2013.

Where is Tonya Lawfer located?

Tonya Lawfer practices at 1102 S Park St, Madison, WI 53715. The listed phone number is (608) 282-8270.

What is Tonya Lawfer's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Tonya Lawfer enrolled in Medicare?

Yes. Tonya Lawfer is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Tonya Lawfer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tonya Lawfer reassigns Medicare benefits to University Of Wisconsin Medical Foundation, Inc (Middleton, 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 Tonya Lawfer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tonya Lawfer accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Dean Health Plan, Group Health Cooperative-SCW and HealthPartners and 2 other insurers list Tonya Lawfer 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 Tonya Lawfer was last updated on March 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.