TONYA WILHELM LICSW
NPI 1245619014
Clinic/Center - Mental Health (Including Community Mental Health Center) in Prior Lake, MN

Active since May 26, 2015PECOS EnrolledAccepts Medicare Assignment
16228 MAIN AVE SE STE 109, PRIOR LAKE, MN 55372(612) 418-8697(888) 308-4056 Get Directions Write a Review

NPPES record last updated: November 24, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 24, 2023, Aug 14, 2023 (2 updates tracked since 2023).

About Tonya Wilhelm Licsw NPPES

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

TONYA WILHELM LICSW (NPI 1245619014) is an individual mental health (including community mental health center) provider in Prior Lake, Minnesota, licensed in Minnesota (21746) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1245619014
Entity TypeIndividualFemale
Primary Taxonomy261QM0801X
Provider Legal NameTONYA WILHELMCredential: LICSW
Location Address16228 MAIN AVE SE STE 109Prior Lake, MN 55372-1789
Mailing Address16228 Main Ave Se Ste 109Prior Lake, MN 55372-1789 · (612) 418-8697 · Fax (888) 308-4056
Fax(888) 308-4056
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateMay 26, 2015
Last NPPES UpdateNovember 24, 20232 updates tracked since enumeration
NPPES CertifiedNovember 24, 2023
NPI 1245619014 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
License Licensed in MN · 21746
16228 MAIN AVE SE STE 109, Prior Lake, MN 55372

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Tonya Wilhelm Licsw 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 ID9537556022
PECOS Enrollment IDI20220502002199
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55372 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$168.28 typical visit price
range $56.00 – $168.28
Typical copayment $42.07 (range $14.00 – $42.07)
Most-billed visit code 99205
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

Clinic/Center (Mental Health (Including Community Mental Health Center))
16228 MAIN AVE SE STE 109
PRIOR LAKE, MN 55372

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 Wilhelm's NPI number?

The NPI number for Tonya Wilhelm is 1245619014. It was assigned to this individual provider in the NPPES registry on May 26, 2015.

Where is Tonya Wilhelm located?

Tonya Wilhelm practices at 16228 Main Ave SE Ste 109, Prior Lake, MN 55372. The listed phone number is (612) 418-8697.

What is Tonya Wilhelm's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Is Tonya Wilhelm enrolled in Medicare?

Yes. Tonya Wilhelm 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.

What insurance does Tonya Wilhelm accept?

Health plans from HealthPartners list Tonya Wilhelm 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 Wilhelm was last updated on November 24, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.