Alison Thayer, LCPC, CEAP

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180-004015 Issued in IL

Practice address

512 W Burlington Ave Ste 3
La Grange, IL 60525-2225

Phone

(312) 351-4061

NPI assigned

Aug 23, 2011

Sex

Female

Sole proprietor

Yes

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.

• Thayer Counseling, LTD

  • Professional Counselor
  • La Grange, IL
  • NPI 1124804729
  NPD Authorized official PROFESSIONAL

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Feb 1, 2024 through Feb 1, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 7, 2023.

{
    "created_epoch": "1314057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1154601052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 N WAIOLA AVE",
            "city": "LA GRANGE PARK",
            "state": "IL",
            "postal_code": "605265528",
            "telephone_number": "312-351-4061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 W BURLINGTON AVE STE 3",
            "city": "LA GRANGE",
            "state": "IL",
            "postal_code": "605252225",
            "telephone_number": "312-351-4061"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "514 N Waiola Ave",
            "address_purpose": "LOCATION",
            "city": "LA Grange Park",
            "state": "IL",
            "postal_code": "605265528",
            "country_code": "US",
            "telephone_number": "312-351-4061",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THAYER",
        "first_name": "ALISON",
        "name_prefix": "Ms.",
        "credential": "LCPC, CEAP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-23",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180-004015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in La Grange, IL
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.