Active NPI
Callie Pauc
- Mental Health Counselor
- Oconomowoc, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 712 Summit Ave
Oconomowoc, WI 53066-3827 - Phone
- (262) 226-2462
- NPI assigned
- May 17, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
712 Summit Ave
Oconomowoc, WI 53066-3827
Mailing address
712 Summit Ave
Oconomowoc, WI 53066-3827
Phone (262) 226-2006
Other practice location 1
101 W Edison Ave Ste 246
Appleton, WI 54915-7807
Phone (262) 226-2006
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
712 Summit Ave
Oconomowoc, WI 53066-3827
Phone (262) 226-2006
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11368 | WI | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amanda Donath Psychological Services S C | Current | Accepting new patients | |
| Family Service Agency of Waukesha County Inc | Mental Health | Past | Accepting new patients |
Locations
101 W Edison Ave
Ste 246
Appleton, WI 54915
Phone (262) 226-2006
1001 W Glen Oaks Ln
Ste 105
Mequon, WI 53092
Phone (414) 258-8314
712 Summit Ave
Oconomowoc, WI 53066
Phone (262) 226-2006
169 E Wisconsin Ave
Unit G
Oconomowoc, WI 53066
Phone (262) 226-2482
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.
-
- Professional Counselor
- Oconomowoc, WI
- NPI 1356961775
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Waukesha, WI
- NPI 1568404671
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772582400000",
"number": "1699412148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "712 SUMMIT AVE",
"city": "OCONOMOWOC",
"state": "WI",
"postal_code": "530663827",
"telephone_number": "262-226-2006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "712 SUMMIT AVE",
"city": "OCONOMOWOC",
"state": "WI",
"postal_code": "530663827",
"telephone_number": "262-226-2462"
}
],
"practiceLocations": [
{
"address_1": "101 W Edison Ave Ste 246",
"address_purpose": "LOCATION",
"city": "Appleton",
"state": "WI",
"postal_code": "549157807",
"country_code": "US",
"telephone_number": "262-226-2006",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PAUC",
"first_name": "CALLIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-17",
"last_updated": "2026-03-04",
"certification_date": "2026-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oconomowoc, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.