TARA L THIELE
NPI 1720625049
Counselor - Mental Health in Menomonie, WI

Active since December 05, 2019PECOS EnrolledAccepts Medicare Assignment
4076 KOTHLOW AVE, MENOMONIE, WI 54751(715) 235-4537 Get Directions Write a Review

NPPES record last updated: October 16, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Tara L Thiele NPPES

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

TARA L THIELE (NPI 1720625049) is an individual mental health provider in Menomonie, Wisconsin, licensed in Wisconsin (7668-125) and active in the NPI registry since December 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1720625049
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameTARA L THIELE
Location Address4076 KOTHLOW AVEMenomonie, WI 54751-3090
Mailing Address2502 Sunset DrEau Claire, WI 54703-5850 · (715) 563-8790
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateDecember 5, 2019
Last NPPES UpdateOctober 16, 2024
NPPES CertifiedOctober 16, 2024
✔ NPI 1720625049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in WI · 7668-125
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 7668-125 (WI)
4076 KOTHLOW AVE, Menomonie, WI 54751

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

Tara L Thiele 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 ID749623007
PECOS Enrollment IDI20240205000346
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 Reassignments

2

Medicare enrollment records show Tara Thiele reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Professional
1235A MENOMONIE ST
Eau Claire, WI 54703
  • Reassigned Medicare billing, Wisconsin enrollment
  • 3 clinicians in this Medicare group
Adult Mental Health
3640 TALMAGE CIR STE 216
Vadnais Heights, MN 55110
  • Reassigned Medicare billing, Wisconsin enrollment
  • 13 clinicians in this Medicare group

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 12

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

Counselor (Mental Health)
4076 KOTHLOW AVE
MENOMONIE, WI 54751
Substance Abuse Rehabilitation Facility
4076 KOTHLOW AVE
MENOMONIE, WI 54751
Family Medicine
4076 KOTHLOW AVE
MENOMONIE, WI 54751
Social Worker
4076 KOTHLOW AVE
MENOMONIE, WI 54751
Social Worker
4076 KOTHLOW AVE
MENOMONIE, WI 54751
Counselor (Mental Health)
4076 KOTHLOW AVE
MENOMONIE, WI 54751
Clinic/Center
4076 KOTHLOW AVE
MENOMONIE, WI 54751
Clinic/Center (Mental Health (Including Community Mental Health Center))
4076 KOTHLOW AVE
MENOMONIE, WI 54751

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 Tara Thiele's NPI number?

The NPI number for Tara Thiele is 1720625049. It was assigned to this individual provider in the NPPES registry on December 5, 2019.

Where is Tara Thiele located?

Tara Thiele practices at 4076 Kothlow Ave, Menomonie, WI 54751. The listed phone number is (715) 235-4537.

What is Tara Thiele's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Tara Thiele enrolled in Medicare?

Yes. Tara Thiele 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 organizations bill Medicare for Tara Thiele's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tara Thiele reassigns Medicare benefits to 2 organizations: Northern Woods Wellness LLC (Eau Claire, WI) and Danielle Golden, Crna, PA (Vadnais Heights, MN). Each 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 Tara Thiele's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tara Thiele accept?

Health plans from Dean Health Plan, Quartz, Security Health Plan and UnitedHealthcare list Tara Thiele 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 Tara Thiele was last updated on October 16, 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.