Alicia Ann Wilson-Thomas, NCC, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180014048 Issued in IL

Practice address

25 E Washington St Ste 1835
Chicago, IL 60602-1836

Phone

(312) 940-3655

Fax

(312) 374-4966

NPI assigned

Sep 17, 2019

Last updated

Nov 20, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

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

Specialty

Mental Health Counselor

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Lifepath Therapy Associates, LLCGroup PAC ID 7911333703, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Lifepath Therapy Associates, LLC

  • Clinical Social Worker
  • Chicago, IL
  • NPI 1629636394

  Professional

  Medicare reassignment Care Compare group NPD
• Ucan

  • Professional Counselor
  • Chicago, IL
  • NPI 1003634726
  NPD (past)
• Ucan

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Chicago, IL
  • NPI 1346803111
  NPD (past)
• Ucan

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Chicago, IL
  • NPI 1356385199
  NPD (past)

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

{
    "created_epoch": "1568678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700438400000",
    "number": "1053961524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6709 S LANGLEY AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606374136",
            "telephone_number": "773-368-6153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 E WASHINGTON ST STE 1835",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606021836",
            "telephone_number": "312-940-3655",
            "fax_number": "312-374-4966"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "212 S Francisco Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606123618",
            "country_code": "US",
            "telephone_number": "773-696-3309",
            "fax_number": "773-217-9364",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3605 W Fillmore St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606244310",
            "country_code": "US",
            "telephone_number": "773-588-0180",
            "fax_number": "773-588-7762",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10046 S Western Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606431926",
            "country_code": "US",
            "telephone_number": "773-429-0300",
            "fax_number": "773-429-5736",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON-THOMAS",
        "first_name": "ALICIA",
        "middle_name": "ANN",
        "credential": "NCC, LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-17",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180014048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joel Wilsnack, M.D.
• Wilson and Smith Inc.
• Wilson Care, Inc.
• Wilson Unlimited Family Enterprises, LLC
• Iris Marie Wilson-Farley
• Adrienne Ashley Wilson, M.D.
• Alan M. Wilson, MD
• Alisha Rose Wilson, APN
• Allison Baran Wilson, PTA
• Alyssa Rosemarie Wilson, M.A.

• Professional Counselor in Chicago, IL
• Providers in Chicago, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2023; 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.

Verify at the official NPI Registry.