Organization Active NPI

Tonya Wilhelm Therapy and Consulting PA

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Prior Lake, MN
National Provider Identifier
1982252664
Registry record updated Dec 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
TONYA WILHELM THERAPY AND CONSULTING PA
Practice address
16228 Main Ave SE Ste 109
Prior Lake, MN 55372-1789
Phone
(612) 430-6486
NPI assigned
Aug 27, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2024

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

Authorized official

Name
Tonya WilhelmNPI 1245619014
Title
Owner/Therapist
Phone
(612) 888-9680

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

16228 Main Ave SE Ste 109
Prior Lake, MN 55372-1789

Mailing address

16228 Main Ave SE, Ste 109
Prior Lake, MN 55372-1789
Phone (612) 430-6486

Other names 1

  • Wilhelm Therapy & Consulting Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220502002089 MN Part B Supplier - Clinic/Group Practice 6002203593 Receives reassigned benefits from 1 practitioner
Practice locations: Prior Lake, MN

National Provider Directory

National Provider Directory

Locations

16228 Main Ave SE
Ste 111
Prior Lake, MN 55372

16228 Main Ave SE
Ste 109
Prior Lake, MN 55372
Phone (612) 430-6486

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1566864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735603200000",
    "number": "1982252664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16228 MAIN AVE SE, STE 109",
            "city": "PRIOR LAKE",
            "state": "MN",
            "postal_code": "553721789",
            "telephone_number": "612-430-6486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16228 MAIN AVE SE STE 109",
            "city": "PRIOR LAKE",
            "state": "MN",
            "postal_code": "553721789",
            "telephone_number": "612-430-6486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TONYA WILHELM THERAPY AND CONSULTING PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-27",
        "last_updated": "2024-12-31",
        "certification_date": "2024-12-31",
        "status": "A",
        "authorized_official_last_name": "WILHELM",
        "authorized_official_first_name": "TONYA",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "612-888-9680"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wilhelm Therapy & Consulting",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Prior Lake, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.