Kelly J Toltzien, MS, ATR, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

700 Ray O Vac Dr Ste 320
Madison, WI 53711-2471

Phone

(608) 520-0846

NPI assigned

Jan 10, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Wildflower Expressive Arts Therapies LLC

  • Mental Health Counselor
  • Madison, WI
  • NPI 1558090738

  Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1547078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667779200000",
    "number": "1932672003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 RAY O VAC DR STE 320",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537112471",
            "telephone_number": "608-520-0846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 RAY O VAC DR STE 320",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537112471",
            "telephone_number": "608-520-0846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOLTZIEN",
        "first_name": "KELLY",
        "middle_name": "J",
        "credential": "MS, ATR, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-10",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "6990-125",
            "primary": false
        },
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara M. Tokheim, CRNA
• Renate Toldo
• Carol J Tolejano, SLP
• Dawn Tollackson, RN
• Rachael Lynn Tolsma, MD
• Tina Toltzien, LCSW
• Megan Smith Tolzien, PA-C
• Lindsay Loelle Tomaras, LPC-IT
• Ann M Tomashek, NP
• Mark L Tomczak, MD

• All providers in Madison, WI
• Mental Health Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.

Verify at the official NPI Registry.