Individual provider Active NPI

Tanya Ann Simonis, PH.D

  • Marriage & Family Therapist
  • Wausau, WI
National Provider Identifier
1417184367
Registry record updated Jun 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
103-228 Issued in WI
Practice address
1100 Lake View Dr
Wausau, WI 54403-6785
Phone
(715) 848-4600
Fax
(715) 845-5398
NPI assigned
Jun 18, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 103-228 WI Primary

Addresses

Primary practice location

1100 Lake View Dr
Wausau, WI 54403-6785

Mailing address

1100 Lake View Dr
Wausau, WI 54403-6785
Phone (715) 848-4600

Other identifiers 1

IdentifierTypeStateIssuer
866-124OtherWILICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240110001713 WI Practitioner - Marriage and Family Therapist 4486922887 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

3398 E Maria Dr
Stevens Point, WI 54481-1362
Phone (715) 341-7441

3500 Hoover Rd
Stevens Point, WI 54481-5600
Phone (715) 342-7900

400 W Glen St
Crandon, WI 54520-1355
Phone (715) 478-3318

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
103-228WIMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince Sep 2, 2025 Accepting new patients
Aspirus Stevens Point Hospital & Clinics, Inc. CurrentSince Jan 1, 2023 Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince Sep 2, 2025 Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

400 W Glen St
Crandon, WI 54520
Phone (715) 478-3318

2251 N Shore Dr
Ste 100
Rhinelander, WI 54501
Phone (715) 361-2074

209 Prentice St N
Stevens Point, WI 54481
Phone (715) 344-4611

3398 E Maria Dr
Stevens Point, WI 54481
Phone (715) 341-7441

900 Illinois Ave
Stevens Point, WI 54481
Phone (715) 342-7500

3500 Hoover Rd
Stevens Point, WI 54481
Phone (715) 342-7900

401 W Mohawk Dr
Ste 100
Tomahawk, WI 54487
Phone (715) 453-7700

190 Grand Seasons Dr
Waupaca, WI 54981
Phone (715) 258-3401

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1245283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467158400000",
    "number": "1417184367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 LAKE VIEW DR",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544036785",
            "telephone_number": "715-848-4600",
            "fax_number": "715-845-5398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 LAKE VIEW DR",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544036785",
            "telephone_number": "715-848-4600",
            "fax_number": "715-845-5398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMONIS",
        "first_name": "TANYA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-18",
        "last_updated": "2016-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WI",
            "license": "103-228",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "866-124",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wausau, WI

Sources for this page

Verify at the official NPI Registry.