Alicia Kimball LCSW Glcma PLLC

Primary specialty

Social WorkerTaxonomy code 104100000X

Legal business name

ALICIA KIMBALL LCSW GLCMA PLLC

Doing business as

Good Vibes Therapy and Wellness

Practice address

1901 N Roselle Rd Ste 800
Schaumburg, IL 60195-3186

Phone

(847) 220-7603

NPI assigned

May 6, 2021

Last updated

May 5, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alicia Kimball, LCSWNPI 1063883957

Title

Ceo

Phone

(847) 220-7603

Specialties & licenses 1

Addresses

Other names 2

• Good Vibes Therapy and Wellness Doing business as
• Alicia Kimball LCSW GLCMA LLC Former legal business name

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alicia Kimball, LCSW

  • Clinical Social Worker
  • Schaumburg, IL
  • NPI 1063883957
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1620259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683244800000",
    "number": "1366026395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 N ROSELLE RD STE 800",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601953186",
            "telephone_number": "847-220-7603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 N ROSELLE RD STE 800",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601953186",
            "telephone_number": "847-220-7603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALICIA KIMBALL LCSW GLCMA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-06",
        "last_updated": "2023-05-05",
        "certification_date": "2023-05-05",
        "status": "A",
        "authorized_official_last_name": "KIMBALL",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "847-220-7603",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Good Vibes Therapy and Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Alicia Kimball LCSW GLCMA LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Alexian Brothers Behavioral Health Parish Services
• Zeidy Jeanette Alfaro
• Yazan Alghalith, MD
• Syeda Uzma Ali, PHARMD
• Fatjona Aliaj, DMD
• Mohammad Alkhatib
• Hassan Alkhawam, MD
• Allen Wellness Center
• Aimee Allen
• Bijana Allen, M.A.

• Social Worker in Schaumburg, IL
• Providers in Schaumburg, IL by specialty
• Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.