CALEY DELORIS MAMEROW LPC
NPI 1306446430
Counselor - Professional in Oconomowoc, WI

Active since October 28, 2020PECOS EnrolledAccepts Medicare Assignment
1230 CORPORATE CENTER DR STE 100, OCONOMOWOC, WI 53066(262) 789-1191 Get Directions Write a Review

NPPES record last updated: April 6, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 6, 2024, Oct 28, 2020 (2 updates tracked since 2020).

About Caley Deloris Mamerow Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CALEY DELORIS MAMEROW LPC (NPI 1306446430) is an individual professional provider in Oconomowoc, Wisconsin, licensed in Wisconsin (10051-125) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1306446430
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameCALEY DELORIS MAMEROWCredential: LPC
Location Address1230 CORPORATE CENTER DR STE 100Oconomowoc, WI 53066-4883
Mailing Address1230 Corporate Center Dr Ste 100Oconomowoc, WI 53066-4883 · (262) 370-1540
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateOctober 28, 2020
Last NPPES UpdateApril 6, 20242 updates tracked since enumeration
NPPES CertifiedApril 6, 2024
✔ NPI 1306446430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in WI · 10051-125
1230 CORPORATE CENTER DR STE 100, Oconomowoc, WI 53066

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Caley Deloris Mamerow Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2668812199
PECOS Enrollment IDI20240501003032
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Caley Mamerow reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mental Health
16535 W BLUEMOUND RD, SUITE 200
Brookfield, WI 53005
  • Reassigned Medicare billing, Wisconsin enrollment
  • 556 clinicians in this Medicare group
Community/Behavioral Health
11414 W PARK PL STE 202
Milwaukee, WI 53224
  • Reassigned Medicare billing, Wisconsin enrollment
  • 39 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
1230 CORPORATE CENTER DR STE 100
OCONOMOWOC, WI 53066
Social Worker (Clinical)
1230 CORPORATE CENTER DR STE 100
OCONOMOWOC, WI 53066
Counselor (Professional)
1230 CORPORATE CENTER DR STE 100
OCONOMOWOC, WI 53066
Counselor (Professional)
1230 CORPORATE CENTER DR STE 100
OCONOMOWOC, WI 53066
Counselor (Professional)
1230 CORPORATE CENTER DR STE 100
OCONOMOWOC, WI 53066

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Caley Mamerow's NPI number?

The NPI number for Caley Mamerow is 1306446430. It was assigned to this individual provider in the NPPES registry on October 28, 2020.

Where is Caley Mamerow located?

Caley Mamerow practices at 1230 Corporate Center Dr Ste 100, Oconomowoc, WI 53066. The listed phone number is (262) 789-1191.

What is Caley Mamerow's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Caley Mamerow enrolled in Medicare?

Yes. Caley Mamerow is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Caley Mamerow's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Caley Mamerow reassigns Medicare benefits to 2 organizations: Cornerstone Counseling Services, Inc (Brookfield, WI) and Abg Wellness Group Inc (Milwaukee, WI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Caley Mamerow's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Caley Mamerow accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Dean Health Plan, HealthPartners and Network Health and 2 other insurers list Caley Mamerow as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Caley Mamerow was last updated on April 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.