CALEY DELORIS MAMEROW (LPC) – Mental Health Counselor, NPI 1306446430

CALEY DELORIS MAMEROW (LPC) is a healthcare provider. based in Oconomowoc, Wisconsin. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LPC. They hold a License No. 10051-125 (WI). The NPI Number for CALEY DELORIS MAMEROW (LPC) is 1306446430

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
CALEY DELORIS MAMEROW (LPC)
NPI
1306446430
Phone
(262) 789-1191
Address
1230 CORPORATE CENTER DR STE 100
Enumeration Date
28 October 2020
Last Update Date
6 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2627891191
Graduation Year
2020 (6 years ago)
PAC ID
2668812199
Group Practice PAC ID
1456256023
Professional Enrollment ID
I20240501003032
Address ID
WI530055906BR16535RDXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:5State licenses:1Digital endpointsOther names

1,748 MENTAL HEALTH COUNSELOR in WI

Provider Addresses for CALEY DELORIS MAMEROW (LPC)

  • 1230 CORPORATE CENTER DR STE 100

    OCONOMOWOC, WI 530664883

    Phone: (262) 789-1191

    Type: Location

  • 126 W WAUKESHA RD

    EAGLE, WI 531192026

    Phone: (262) 370-1540

    Type: Mailing

  • 1245 CHEYENNE AVE STE 200

    GRAFTON, WI 530249323

    Phone: (424) 559-0050

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-05-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240501003032IMental Health CounselorWITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 53066)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1456256023View full group profile
NameSpecialtyState
Mental Health CounselorWI
Marriage And Family TherapistWI
-WI
Mental Health CounselorWI
Nurse PractitionerIL
Mental Health CounselorWI
Mental Health CounselorWI
Mental Health CounselorAZ
Mental Health CounselorWI
Mental Health CounselorWI

Reviews

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Frequently asked questions

What is the registry number for CALEY DELORIS MAMEROW (LPC)?
The registry entry for CALEY DELORIS MAMEROW (LPC) shows NPI 1306446430.
Does the public listing show CALEY DELORIS MAMEROW (LPC) as active?
CALEY DELORIS MAMEROW (LPC)'s NPI record reflects an active status in NPPES.
What services align with CALEY DELORIS MAMEROW (LPC)'s listing?
CALEY DELORIS MAMEROW (LPC)'s public classification highlights Mental Health Counselor. Clinical services aligned with this taxonomy classification.
What geographic area is tied to CALEY DELORIS MAMEROW (LPC)?
CALEY DELORIS MAMEROW (LPC) is associated with Oconomowoc, Wisconsin in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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