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TANYA RENEE KOELKER LCPC
NPI 1902638653
Counselor - Professional in Belleville, IL

Active since August 19, 2024PECOS EnrolledAccepts Medicare Assignment
12 SUNDEW DR, BELLEVILLE, IL 62221(618) 581-8802 Get Directions Write a Review

NPPES record last updated: January 23, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 5, 2024, Aug 19, 2024 (2 updates tracked since 2024).

About Tanya Renee Koelker Lcpc NPPES

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

TANYA RENEE KOELKER LCPC (NPI 1902638653) is an individual professional provider in Belleville, Illinois, licensed in Illinois (180011458) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1902638653
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameTANYA RENEE KOELKERCredential: LCPC
Location Address12 SUNDEW DRBelleville, IL 62221-4356
Mailing Address115 Lincoln Place Ct Ste 102Belleville, IL 62221-5876 · (618) 722-9616
Phone(618) 581-8802
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateAugust 19, 2024
Last NPPES UpdateJanuary 23, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 23, 2025
✔ NPI 1902638653 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 IL · 180011458
12 SUNDEW DR, Belleville, IL 62221
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.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

Tanya Renee Koelker Lcpc 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 ID6103359120
PECOS Enrollment IDI20241030000700
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.

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 Tanya Koelker's NPI number?

The NPI number for Tanya Koelker is 1902638653. It was assigned to this individual provider in the NPPES registry on August 19, 2024.

Where is Tanya Koelker located?

Tanya Koelker practices at 12 Sundew Dr, Belleville, IL 62221. The listed phone number is (618) 581-8802.

What is Tanya Koelker's specialty?

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

Is Tanya Koelker enrolled in Medicare?

Yes. Tanya Koelker 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 Tanya Koelker accept?

Health plans from UnitedHealthcare list Tanya Koelker 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 Tanya Koelker was last updated on January 23, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.