Individual provider Active NPI

Addie Mae Caldwell, LPC

  • Professional Counselor
  • Keshena, WI
National Provider Identifier
1679071492
Registry record updated Aug 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
8185-125 Issued in WI
Practice address
W2372 Wolf River Drive
Keshena, WI 54135
Phone
(715) 799-3861
Fax
(715) 799-3517
NPI assigned
Jan 26, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 8185-125 WI Primary

Addresses

Primary practice location

W2372 Wolf River Drive
Keshena, WI 54135

Mailing address

W2372 Wolf River Drive
Keshena, WI 54135
Phone (715) 799-3861

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250317001238 WI Practitioner - Mental Health Counselor 3870015183 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Core Treatment Services, Inc.Group PAC ID 6608267430, 7 clinicians

Practice addresses (Care Compare)

3733 Dewey St
Manitowoc, WI 54220-5844
Phone (920) 663-1035

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Core Treatment Services, Inc. Professional CurrentSince Mar 11, 2025 Accepting new patients
Core Treatment Services, Inc. Professional CurrentSince Apr 27, 2025 Accepting new patients

Locations

3733 Dewey St
Manitowoc, WI 54220
Phone (920) 663-1035

607 E Elizabeth St
Shawano, WI 54166
Phone (715) 526-4700

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1516924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786665600000",
    "number": "1679071492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W2372 WOLF RIVER DRIVE",
            "city": "KESHENA",
            "state": "WI",
            "postal_code": "54135",
            "telephone_number": "715-799-3861",
            "fax_number": "715-799-3517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W2372 WOLF RIVER DRIVE",
            "city": "KESHENA",
            "state": "WI",
            "postal_code": "54135",
            "telephone_number": "715-799-3861",
            "fax_number": "715-799-3517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDWELL",
        "first_name": "ADDIE",
        "middle_name": "MAE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-26",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "8185-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Keshena, WI

Sources for this page

Verify at the official NPI Registry.