TALL PINES BEHAVIORAL HEALTH LLC
NPI 1215519764
Psychologist - Health Service in Wausau, WI

Active since April 24, 2021
100 N 72ND AVE, WAUSAU, WI 54401(715) 301-0267 Get Directions Write a Review

NPPES record last updated: April 27, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 27, 2026, Nov 14, 2024, Aug 9, 2021 and 1 more (4 updates tracked since 2021).

About Tall Pines Behavioral Health Llc NPPES

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

TALL PINES BEHAVIORAL HEALTH LLC (NPI 1215519764) is a healthcare organization registered as a health service in Wausau, Wisconsin and active in the NPI registry since April 2021. The organization lists Dakota J Kaiser, Managing Partner, as its authorized official.

NPPES Registry Identity

NPI1215519764
Entity TypeOrganization
Primary Taxonomy103TH0100X
Legal Business NameTALL PINES BEHAVIORAL HEALTH LLC
Location Address100 N 72ND AVEWausau, WI 54401-9042
Mailing Address100 N 72nd AveWausau, WI 54401-9042 · (715) 301-0267 · Fax (844) 444-0672
Organization SubpartNo
Authorized OfficialDakota J KaiserManaging Partner · (715) 301-0267
Enumeration DateApril 24, 2021
Last NPPES UpdateApril 27, 20264 updates tracked since enumeration
NPPES CertifiedApril 27, 2026
✔ NPI 1215519764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · Health ServiceBehavioral Health & Social Service Providers
Taxonomy Code103TH0100X
Definition
A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
100 N 72ND AVE, Wausau, WI 54401

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tall Pines Behavioral Health Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

10

Medicare enrollment records show 10 clinicians reassign Medicare billing to Tall Pines Behavioral Health LLC, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 5

Clinical Psychologist3
Mental Health Counselor3
Clinical Social Worker2
Occupational Therapist in Private Practice1
Psychologist Billing Independently1

Clinicians, nearest first (10)

Clinical Psychologist
NPI 1033566088
100 N 72ND AVE
Wausau, WI 54401
(715) 301-0267
✔ PECOS✔ Accepts MedicareSame address
Clinical Psychologist
NPI 1518563915
100 N 72ND AVE
Wausau, WI 54401
(715) 301-0267
✔ PECOS✔ Accepts MedicareSame address
Psychologist Billing Independently
NPI 1366012494
100 N 72ND AVE # 207
Wausau, WI 54401
(715) 301-0277
Same address
Mental Health Counselor
NPI 1396176475
100 N 72ND AVE
Wausau, WI 54401
(715) 301-0267
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1033468947
1810 NORTH 2ND STREET
Wausau, WI 54403
(715) 848-4884
✔ PECOS✔ Accepts Medicare4.9 mi
Occupational Therapist in Private Practice
NPI 1750940540
1000 N OAK AVE
Marshfield, WI 54449
(715) 387-5511
31 mi
Mental Health Counselor
NPI 1295481851
5650 N GREEN BAY AVE STE 205
Glendale, WI 53209
(715) 551-7078
✔ PECOS155 mi
Clinical Social Worker
NPI 1669027066
5215 N IRONWOOD RD STE 202
Glendale, WI 53217
(715) 903-6444
✔ PECOS156 mi
Clinical Psychologist
NPI 1538672928
3600 30TH ST STE -117
Des Moines, IA 50310
(515) 699-5999
✔ PECOS✔ Accepts Medicare304 mi
Mental Health Counselor
NPI 1154988871
1818 SE DIVISION ST
Portland, OR 97202
(503) 963-7613
✔ PECOS✔ Accepts Medicare1,595 mi

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

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 Tall Pines Behavioral Health LLC's NPI number?

The NPI number for Tall Pines Behavioral Health LLC is 1215519764. It was assigned to this organization in the NPPES registry on April 24, 2021.

Where is Tall Pines Behavioral Health LLC located?

Tall Pines Behavioral Health LLC is located at 100 N 72nd Ave, Wausau, WI 54401. The listed phone number is (715) 301-0267.

What is Tall Pines Behavioral Health LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Health Service, with taxonomy code 103TH0100X.

Is Tall Pines Behavioral Health LLC enrolled in Medicare?

Yes. Tall Pines Behavioral Health LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Tall Pines Behavioral Health LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 5 Medicare specialties reassign their Medicare billing to Tall Pines Behavioral Health LLC. A 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 the clinician's services. The largest specialties are Clinical Psychologist (3), Mental Health Counselor (3) and Clinical Social Worker (2). Of these, 4 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Tall Pines Behavioral Health LLC accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan and Security Health Plan list Tall Pines Behavioral Health LLC 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 Tall Pines Behavioral Health LLC was last updated on April 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.