Individual provider Active NPI

Callie Pauc

  • Mental Health Counselor
  • Oconomowoc, WI
National Provider Identifier
1699412148
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
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

Updated by the provider on Mar 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241230002563 WI Practitioner - Mental Health Counselor 4688101876 Reassigns benefits to 1 organization

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
Amanda Donath Psychological Services S CGroup PAC ID 6406248822, 11 clinicians

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

LicenseStateTypeSpecialty
11368WIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Amanda Donath Psychological Services S C CurrentSince Oct 24, 2024 Accepting new patients
Family Service Agency of Waukesha County Inc Mental Health PastSince May 22, 2022 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.

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

Verify at the official NPI Registry.