CAROLINE CHALK LPC-IT, SAC-IT
NPI 1316531932
Counselor - Professional in Wautoma, WI

Active since February 24, 2021PECOS EnrolledAccepts Medicare Assignment
400 S TOWNLINE RD, WAUTOMA, WI 54982(920) 787-5514 Get Directions Write a Review

NPPES record last updated: February 24, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Caroline Chalk Lpc-it, Sac-it NPPES

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

CAROLINE CHALK LPC-IT, SAC-IT (NPI 1316531932) is an individual professional provider in Wautoma, Wisconsin, licensed in Wisconsin (4651-226) and active in the NPI registry since February 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Friendship, and is a graduate of University Of Wisconsin School Of Medicine (2020).

NPPES Registry Identity

NPI1316531932
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameCAROLINE CHALKCredential: LPC-IT, SAC-IT
Location Address400 S TOWNLINE RDWautoma, WI 54982-6922
Mailing Address400 S Townline RdWautoma, WI 54982-6922 · (920) 787-5514
Sole ProprietorNo
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 2020
Enumeration DateFebruary 24, 2021
NPPES CertifiedFebruary 5, 2021
NPI 1316531932 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in WI · 4651-226
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 19114-130 (WI)
400 S TOWNLINE RD, Wautoma, WI 54982

Secondary Practice Location 1

Location 1302 W. Lake StFriendship, WI 53934 · Phone (608) 474-4355 · Fax (608) 474-4309

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Caroline Chalk Lpc-it, Sac-it 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 ID5991149122
PECOS Enrollment IDI20240215003342
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.

Other Providers at the Same Location NPPES 20

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

Dental Hygienist
400 S TOWNLINE RD
WAUTOMA, WI 54982
Dental Hygienist
400 S TOWNLINE RD
WAUTOMA, WI 54982
Dental Hygienist
400 S TOWNLINE RD
WAUTOMA, WI 54982
Nurse Practitioner (Psychiatric/Mental Health)
400 S TOWNLINE RD
WAUTOMA, WI 54982
Pharmacy
400 S TOWNLINE RD
WAUTOMA, WI 54982
Dentist (General Practice)
400 S TOWNLINE RD
WAUTOMA, WI 54982
Dietitian, Registered
400 S TOWNLINE RD
WAUTOMA, WI 54982
Family Medicine
400 S TOWNLINE RD
WAUTOMA, WI 54982

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 Caroline Chalk's NPI number?

The NPI number for Caroline Chalk is 1316531932. It was assigned to this individual provider in the NPPES registry on February 24, 2021.

Where is Caroline Chalk located?

Caroline Chalk practices at 400 S Townline Rd, Wautoma, WI 54982. The listed phone number is (920) 787-5514.

What is Caroline Chalk's specialty?

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

Is Caroline Chalk enrolled in Medicare?

Yes. Caroline Chalk 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.

What insurance does Caroline Chalk accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Medica and 2 other insurers list Caroline Chalk 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 Caroline Chalk was last updated on February 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.