Individual provider Active NPI

Sara Tienhaara, M.ED

  • Professional Counselor
  • Rhinelander, WI
National Provider Identifier
1487354262
Registry record updated Dec 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
11460-125 Issued in WI
Practice address
705 E Timber Dr
Rhinelander, WI 54501-2859
Phone
(715) 369-2215
NPI assigned
Mar 9, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X WI
Professional Counselor 101YP2500X 11460-125 WI Primary

Addresses

Primary practice location

705 E Timber Dr
Rhinelander, WI 54501-2859

Mailing address

PO Box 897
Rhinelander, WI 54501-0897
Phone (715) 365-3694

Other identifiers 1

IdentifierTypeStateIssuer
251500000XOtherWICRISIS INTERVENTION TAXONOMY

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
I20250206001788 WI Practitioner - Mental Health Counselor 6608306667 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2011
Medicare assignment
May accept Medicare assignment
Group practices
Oneida CountyGroup PAC ID 0345306403, 4 clinicians

Practice addresses (Care Compare)

705 E Timber Dr
Rhinelander, WI 54501-2859
Phone (715) 362-7463

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
11460-125WIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Oneida County CurrentSince Jan 1, 2025 Accepting new patients

Locations

705 E Timber Dr
Rhinelander, WI 54501
Phone (715) 362-7463

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1678320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733443200000",
    "number": "1487354262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 897",
            "city": "RHINELANDER",
            "state": "WI",
            "postal_code": "545010897",
            "telephone_number": "715-365-3694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 E TIMBER DR",
            "city": "RHINELANDER",
            "state": "WI",
            "postal_code": "545012859",
            "telephone_number": "715-369-2215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIENHAARA",
        "first_name": "SARA",
        "credential": "M.ED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-09",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "WI",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "11460-125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRISIS INTERVENTION TAXONOMY",
            "identifier": "251500000X",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rhinelander, WI

Sources for this page

Verify at the official NPI Registry.