Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mary T Pauli, LCPC

Individual provider Mental Health Counselor · NPI 1073148656

Mary T Pauli, LCPC is a Mental Health Counselor in Edgerton, Wisconsin. Qualified in 2009, 17 years ago. Practices with Edgerton Hospital and Health Services, Inc, a 39-clinician group and accepts Medicare assignment. Licensed in Illinois and Wisconsin.

Years since qualifying
17
Licensed in
IL, WI
In the registry since
2020
Specialties on file
2
What do these letters mean?
LCPC — Licensed Clinical Professional Counselor
A licensed clinical counsellor.

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Practice location Address checks out

111 W Fulton St
Edgerton, WI 53534-1876
Phone: (608) 561-6614
Fax: (608) 561-6642
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 7545-125 (WI)
Mental Health Counselor Taxonomy 101YM0800X · Licence 180.010034 (IL)

Record details

NPI number1073148656
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCPC
Sole proprietorYes
NPI enumeratedMarch 4, 2020
Last updated in NPPESJune 11, 2025
Certification dateJune 11, 2025

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Edgerton Hospital And Health Services, Inc — 39 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Edgerton