Active NPI
Tonya Klem, ED.S
- School Psychologist
- Menomonie, WI
National Provider Identifier
1902264328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 900-58
- Practice address
- 800 Wilson Ave
Menomonie, WI 54751-2734 - Phone
- (715) 256-7166
- NPI assigned
- Jan 29, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 3001018297 | WI | |
| School Psychologist | 103TS0200X | 900-58 | WI | Primary |
Addresses
Primary practice location
800 Wilson Ave
Menomonie, WI 54751-2734
Mailing address
918 10TH Ave E
Menomonie, WI 54751-2724
Phone (715) 529-5374
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | EHR | Direct | Thrive Psychological and Consulting Services LLC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3001018297 | WI | MD | School Psychologist |
| 900-58 | WI | MD | School Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrive Psychological and Consulting Services LLC | School | Current | Accepting new patients |
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.
-
- Professional Counselor
- Menomonie, WI
- NPI 1487383808
School
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655164800000",
"number": "1902264328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "918 10TH AVE E",
"city": "MENOMONIE",
"state": "WI",
"postal_code": "547512724",
"telephone_number": "715-529-5374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 WILSON AVE",
"city": "MENOMONIE",
"state": "WI",
"postal_code": "547512734",
"telephone_number": "715-256-7166"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLEM",
"first_name": "TONYA",
"credential": "ED.S",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-01-29",
"last_updated": "2022-06-14",
"certification_date": "2022-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "WI",
"license": "3001018297",
"primary": false
},
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "WI",
"license": "900-58",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "EHR",
"affiliation": "Y",
"endpointDescription": "Simple Practice",
"affiliationName": "Thrive Psychological and Consulting Services LLC",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "800 Wilson Ave",
"city": "Menomonie",
"state": "WI",
"country_code": "US",
"postal_code": "547512734",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Menomonie, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.