Tonya Lyn Krueger Callahan, MS CRC LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

3257-125 Issued in WI

Practice address

1191 Huntington Ave
Wisconsin Rapids, WI 54494-6364

Phone

(715) 570-8345

NPI assigned

Jul 19, 2022

Last updated

Jun 21, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Mental Health Counselor

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Behavioral Health Clinic LLCGroup PAC ID 8628409885, 43 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Behavioral Health Clinic, LLC

  • Clinical Psychologist
  • Wausau, WI
  • NPI 1831442359

  Professional

  Medicare reassignment Care Compare group NPD
• Opportunity Development Centers, Inc.

  dba Opportunity for Hope

  • Developmentally Disabled Services Day Training Agency
  • Wisconsin Rapids, WI
  • NPI 1013161587
  NPD

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

{
    "created_epoch": "1658188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718928000000",
    "number": "1639804107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1191 HUNTINGTON AVE",
            "city": "WISCONSIN RAPIDS",
            "state": "WI",
            "postal_code": "544946364",
            "telephone_number": "715-570-8345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1191 HUNTINGTON AVE",
            "city": "WISCONSIN RAPIDS",
            "state": "WI",
            "postal_code": "544946364",
            "telephone_number": "715-570-8345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLAHAN",
        "first_name": "TONYA",
        "middle_name": "LYN KRUEGER",
        "credential": "MS CRC LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-19",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225C00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor",
            "state": "WI",
            "license": "16237",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "3257-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heidi J Bulgrin
• Amanda Bullock, RN
• Nicole L Burlingame
• Mackenzie Buttles, OTR/L
• Jessica Lynn Cahill, PA
• Carlson Gi Clinic
• Joel M Carlson, M.D.
• Erica Carpenter, LPN
• Alexis N Case, RN
• Connie K Casey, C.R.N.A.

• Professional Counselor in Wisconsin Rapids, WI
• Providers in Wisconsin Rapids, WI by specialty
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.