Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Timothy John Koller, MS, LPC

Individual provider Professional Counselor · NPI 1407918998

Mr. Timothy John Koller, MS, LPC is a Mental Health Counselor in Wausau, Wisconsin. Qualified in 1994, 32 years ago. Practices with The Centre for Well-Being, Inc, a 26-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
32
Licensed in
WI
In the registry since
2006
What do these letters mean?
MS — Master of Science
A graduate science degree.
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

401 5th St Ste 235
Wausau, WI 54403-5470
Phone: (715) 849-3311
Fax: (715) 849-8414
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 2649-125 (WI)

Record details

NPI number1407918998
Entity typeIndividual (Type 1)
GenderMale
Credentials MS , LPC
Sole proprietorNo
NPI enumeratedDecember 14, 2006
Last updated in NPPESNovember 11, 2008

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Group practice The Centre For Well-Being, Inc — 26 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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