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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: October 25, 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
Phone(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
Open in Google Maps ↗

Secondary Practice Location 1

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and more.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

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.

Medicare Billing Reassignment

Medicare enrollment records show Caroline Chalk reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Aurora Medical Group, Inc.
80 mi
Clinic/Center
2414 KOHLER MEMORIAL DR
Sheboygan, WI 53081
  • Reassigned Medicare billing, Wisconsin enrollment
  • 4,609 clinicians in this Medicare group
NPI 1174670244 (920) 457-4461

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 20

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

KAYLA MEILICK RDH
Dental Hygienist
400 S TOWNLINE RD
WAUTOMA, WI 54982
Waushara County (920) 787-5514
JANET KRIEDERMANN RECORE RDH
Dental Hygienist
400 S TOWNLINE RD
WAUTOMA, WI 54982
Waushara County (920) 787-5514
HOLLY L KRIZAN RDH
Dental Hygienist
400 S TOWNLINE RD
WAUTOMA, WI 54982
Waushara County (920) 787-5514
AMY SCHOENOFF APNP
Nurse Practitioner (Psychiatric/Mental Health)
400 S TOWNLINE RD
WAUTOMA, WI 54982
Waushara County (920) 787-5514
LA CLINICA DE LOS CAMPESINOS, INC
Pharmacy
400 S TOWNLINE RD
WAUTOMA, WI 54982
Waushara County (920) 647-8984
DR. JOAN L. FOX DDS
Dentist (General Practice)
400 S TOWNLINE RD
WAUTOMA, WI 54982
Waushara County (920) 787-5514
MRS. ERIKA RENAE ANNA RDN, CD
Dietitian, Registered
400 S TOWNLINE RD
WAUTOMA, WI 54982
Waushara County (920) 787-5514
JOSEPH W CARON MD
Family Medicine
400 S TOWNLINE RD
WAUTOMA, WI 54982
Waushara County (800) 942-5330

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.

Which organization bills Medicare for Caroline Chalk's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Caroline Chalk reassigns Medicare benefits to Aurora Medical Group, Inc. (Sheboygan, WI). The 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 Caroline Chalk's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Caroline Chalk accept?

Health plans from Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners, Network Health and Quartz and 1 other insurer 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.