Individual provider Active NPI

Corey Matthew Tallier, LPC

  • Mental Health Counselor
  • Eau Claire, WI
National Provider Identifier
1497443030
Registry record updated May 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
11819-125 Issued in WI
Practice address
4330 Golf Ter Ste 209
Eau Claire, WI 54701-4688
Phone
(715) 256-7166
Fax
(888) 427-8048
NPI assigned
May 1, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 7260-226 WI
Mental Health Counselor 101YM0800X 11819-125 WI Primary

Addresses

Primary practice location

4330 Golf Ter Ste 209
Eau Claire, WI 54701-4688

Mailing address

757 Jeffers RDG
Eau Claire, WI 54703-3844
Phone (715) 314-0054

Other practice location 1

800 Wilson Ave Rm 330
Menomonie, WI 54751-2746
Phone (715) 256-7166

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
I20260326002864 WI Practitioner - Mental Health Counselor 4284119371 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
May accept Medicare assignment
Group practices
Thrive Psychological and Consulting Services LLCGroup PAC ID 7810470853, 4 clinicians

Practice addresses (Care Compare)

4330 Golf Ter
Suite 209
Eau Claire, WI 54701-4688
Phone (715) 256-7166

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11819-125WIMDMental Health Counselor
7260-226WIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Psychological and Consulting Services LLC CurrentSince Feb 28, 2026 Accepting new patients
Enigma Psychological Inc. CurrentSince Dec 29, 2024 Accepting new patients

Locations

4330 Golf Ter
Ste 209
Eau Claire, WI 54701
Phone (715) 256-7166

800 Wilson Ave
Rm 330
Menomonie, WI 54751
Phone (715) 256-7166

Organizations & group practices 2

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": "1682899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747958400000",
    "number": "1497443030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "757 JEFFERS RDG",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547033844",
            "telephone_number": "715-314-0054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4330 GOLF TER STE 209",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547014688",
            "telephone_number": "715-256-7166",
            "fax_number": "888-427-8048"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Wilson Ave Rm 330",
            "address_purpose": "LOCATION",
            "city": "Menomonie",
            "state": "WI",
            "postal_code": "547512746",
            "country_code": "US",
            "telephone_number": "715-256-7166",
            "fax_number": "888-427-8048",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TALLIER",
        "first_name": "COREY",
        "middle_name": "MATTHEW",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-01",
        "last_updated": "2025-05-23",
        "certification_date": "2025-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "7260-226",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "11819-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eau Claire, WI

Sources for this page

Verify at the official NPI Registry.