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

Tara L Thiele

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1720625049

Tara L Thiele is a Mental Health Counselor in Menomonie, Wisconsin. Qualified in 2017, 9 years ago. Practices with Northern Woods Wellness LLC, a 2-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Wisconsin.

Years since qualifying
9
Licensed in
WI
In the registry since
2019
Specialties on file
4
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

4076 Kothlow Ave
Menomonie, WI 54751-3090
Phone: (715) 235-4537
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X
Mental Health Counselor Taxonomy 101YM0800X · Licence 7668-125 (WI)
Professional Counselor Taxonomy 101YP2500X · Licence 7668-125 (WI)

Record details

NPI number1720625049
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 5, 2019
Last updated in NPPESOctober 16, 2024
Certification dateOctober 16, 2024
Mailing address2502 Sunset Dr, Eau Claire, WI 54703-5850

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Northern Woods Wellness Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Menomonie