Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Caroline Chalk, LPC-IT, SAC-IT

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1316531932

Caroline Chalk, LPC-IT, SAC-IT is a Mental Health Counselor in Wautoma, Wisconsin. Graduated from University of Wisconsin School of Medicine in 2020, 6 years ago. Practices with Aurora Medical Group, Inc, a 3,741-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Wisconsin.

Years since qualifying
6
Trained at
University of Wisconsin School of Medicine
Licensed in
WI
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

400 S Townline Rd
Wautoma, WI 54982-6922
Phone: (920) 787-5514
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 302 W. Lake St, Friendship, WI 53934 — (608) 474-4355

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 4651-226 (WI)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 19114-130 (WI)

Record details

NPI number1316531932
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC-IT , SAC-IT
Sole proprietorNo
NPI enumeratedFebruary 24, 2021
Last updated in NPPESFebruary 24, 2021
Certification dateFebruary 5, 2021

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolUNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice Aurora Medical Group, Inc. — 3741 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Wautoma