Caroline Chalk, LPC-IT, SAC-IT
NPI 1316531932ActiveIndividual· Counselor, Professional· Wautoma, WI
Counselor, Professional (LPC-IT, SAC-IT) in Wautoma, Wisconsin, trained at University of Wisconsin School of Medicine (class of 2020). Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1316531932 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LPC-IT, SAC-IT |
| Sole proprietor | No |
| NPI issued | Feb 24, 2021 |
| Last updated in NPPES | Feb 24, 2021 |
| Certified by provider | Feb 5, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | 4651-226 | WI |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | 19114-130 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Mental Health Counselor (WI) |
|---|
Education and affiliations
| Medical school | University of Wisconsin School of Medicine |
|---|---|
| Graduation year | 2020 |
| Medicare specialty | Mental Health Counselor |
| Telehealth | Offers telehealth |
Medical group
- Aurora Medical Group, Inc.Milwaukee, WI · 3,813 clinicians
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