TONYA WILHELM LICSW
NPI 1245619014
Clinic/Center - Mental Health (Including Community Mental Health Center) in Prior Lake, MN
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
Specialties & Licenses
Accepted 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 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.
Medicare Billing Reassignment
Medicare enrollment records show Tonya Wilhelm reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Prior Lake, MN 55372
- Reassigned Medicare billing, Minnesota enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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.
Which organization bills Medicare for Tonya Wilhelm's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tonya Wilhelm reassigns Medicare benefits to Tonya Wilhelm Therapy And Consulting PA (Prior Lake, MN). 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 Wilhelm's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 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.
# Tonya Wilhelm, LICSW · NPI 1245619014
Mental Health (Including Community Mental Health Center) provider in Prior Lake, Minnesota. Individual provider, active in the CMS NPPES registry since May 26, 2015.
## Identity
- **NPI:** 1245619014 (Entity type: Individual)
- **Enumerated:** May 26, 2015
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **State license:** 21746 (Minnesota)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 16228 MAIN AVE SE STE 109, Prior Lake, MN 55372-1789
- **Phone:** (612) 418-8697 · **Fax:** (888) 308-4056
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Tonya Wilhelm Therapy And Consulting PA (NPI 1982252664, Prior Lake, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** November 24, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1245619014) · Data from the CMS NPPES public registry.