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MR. TIMOTHY JOHN KOLLER MS, LPC
NPI 1407918998
Counselor - Professional in Wausau, WI

Active since December 14, 2006PECOS EnrolledAccepts Medicare Assignment
401 5TH ST, STE 235, WAUSAU, WI 54403(715) 849-3311(715) 849-8414 Get Directions Write a Review

NPPES record last updated: November 11, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mr. Timothy John Koller Ms, Lpc NPPES

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

MR. TIMOTHY JOHN KOLLER MS, LPC (NPI 1407918998) is an individual professional provider in Wausau, Wisconsin, licensed in Wisconsin (2649-125) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1994).

NPPES Registry Identity

NPI1407918998
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. TIMOTHY JOHN KOLLERCredential: MS, LPC
Location Address401 5TH ST, STE 235Wausau, WI 54403-5470
Mailing AddressPo Box 1127Sheboygan, WI 53082-1127 · (920) 457-6750 · Fax (920) 457-8350
Phone(715) 849-3311
Fax(715) 849-8414
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateDecember 14, 2006
Last NPPES UpdateNovember 11, 2008
✔ NPI 1407918998 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in WI · 2649-125
401 5TH ST, Wausau, WI 54403
Open in Google Maps ↗

Other Identifiers 1

Medicaid39756000WI

Accepted Insurance

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

Mr. Timothy John Koller Ms, Lpc 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 ID9133570971
PECOS Enrollment IDI20240105003006
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 Timothy Koller reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Centre For Well-Being, Inc
0.3 mi
Mental Health (Including Community Mental Health Center)
901 N 6TH ST
Wausau, WI 54403
  • Reassigned Medicare billing, Wisconsin enrollment
  • 39 clinicians in this Medicare group
NPI 1144426495 (715) 848-5022

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

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
110 services12 patients

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 Timothy Koller's NPI number?

The NPI number for Timothy Koller is 1407918998. It was assigned to this individual provider in the NPPES registry on December 14, 2006.

Where is Timothy Koller located?

Timothy Koller practices at 401 5th St Ste 235, Wausau, WI 54403. The listed phone number is (715) 849-3311.

What is Timothy Koller's specialty?

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

Is Timothy Koller enrolled in Medicare?

Yes. Timothy Koller 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 Timothy Koller's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Timothy Koller reassigns Medicare benefits to The Centre For Well-Being, Inc (Wausau, 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 Timothy Koller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Timothy Koller accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Quartz, Security Health Plan and UnitedHealthcare list Timothy Koller 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 Timothy Koller was last updated on November 11, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.