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TAMILYN D WHITE LPC, NCC
NPI 1750616124
Counselor - Mental Health in Hayward, WI

Active since October 02, 2009PECOS EnrolledAccepts Medicare Assignment
NORTHLAKES COMMUNITY CLINIC, 15954 RIVERS EDGE DRIVE, HAYWARD, WI 54843(715) 634-2541(715) 934-5090 Get Directions Write a Review

NPPES record last updated: January 20, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Tamilyn D White Lpc, Ncc NPPES

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

TAMILYN D WHITE LPC, NCC (NPI 1750616124) is an individual mental health provider in Hayward, Wisconsin, licensed in Wisconsin (4272-125) and active in the NPI registry since October 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1750616124
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameTAMILYN D WHITECredential: LPC, NCC
Location AddressNORTHLAKES COMMUNITY CLINIC, 15954 RIVERS EDGE DRIVEHayward, WI 54843-5484
Mailing Address15954 Rivers Edge, 15954 Rivers Edge DriveHayward, WI 54843 · (715) 634-2541 · Fax (715) 934-5090
Phone(715) 634-2541
Fax(715) 934-5090
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateOctober 2, 2009
Last NPPES UpdateJanuary 20, 2025
NPPES CertifiedJanuary 20, 2025
✔ NPI 1750616124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in WI · 4272-125
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 4727-125 (WI)
NORTHLAKES COMMUNITY CLINIC, Hayward, WI 54843
Open in Google Maps ↗

Other Names 1

Former Name (1)Tamilyn D Frey Lpc, Ncc

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) 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

Tamilyn D White Lpc, Ncc 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 ID7214388578
PECOS Enrollment IDI20240111000178
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 Tamilyn White reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Lakes Community Health Center, Inc
11 mi
Federally Qualified Health Center (FQHC)
15954 RIVERS EDGE DR STE 304
Hayward, WI 54843
  • Reassigned Medicare billing, Wisconsin enrollment
  • 118 clinicians in this Medicare group
NPI 1659884716 (715) 634-2541

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 Tamilyn White's NPI number?

The NPI number for Tamilyn White is 1750616124. It was assigned to this individual provider in the NPPES registry on October 2, 2009. The provider is also known as Tamilyn D Frey Lpc, Ncc.

Where is Tamilyn White located?

Tamilyn White practices at Northlakes Community Clinic 15954 Rivers Edge Drive, Hayward, WI 54843. The listed phone number is (715) 634-2541.

What is Tamilyn White's specialty?

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

Is Tamilyn White enrolled in Medicare?

Yes. Tamilyn White 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 Tamilyn White's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tamilyn White reassigns Medicare benefits to The Lakes Community Health Center, Inc (Hayward, 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 Tamilyn White's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tamilyn White accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), Dean Health Plan and HealthPartners and 1 other insurer list Tamilyn White 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 Tamilyn White was last updated on January 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.