Alyssa K Wilderman, LPC, MA

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

178020118 Issued in IL

Practice address

611 W Jefferson St Ste 201
Shorewood, IL 60404-3772

Phone

(630) 243-4396

NPI assigned

Dec 14, 2022

Last updated

Jul 13, 2025By 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 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1670976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752364800000",
    "number": "1487366035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15209 S LAKESIDE CT",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605442123",
            "telephone_number": "630-864-8982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 W JEFFERSON ST STE 201",
            "city": "SHOREWOOD",
            "state": "IL",
            "postal_code": "604043772",
            "telephone_number": "630-243-4396"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1804 N Naper Blvd Ste 250",
            "address_purpose": "LOCATION",
            "city": "Naperville",
            "state": "IL",
            "postal_code": "605638830",
            "country_code": "US",
            "telephone_number": "630-332-2358",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILDERMAN",
        "first_name": "ALYSSA",
        "middle_name": "K",
        "credential": "LPC, MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-14",
        "last_updated": "2025-07-13",
        "certification_date": "2025-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178020118",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kari Pogue Walker, PT
• Walmart Inc.
• We Rock Forever LLC
• Westberg Corporation (Seniors Helping Seniors of IL)
• Avia N Wideman
• Ericka Darcel Williams
• Nicolette Rose Wohlfahrt, M.S. CCC-SLP
• Maria Wolfe, LDN
• Laura Wong, LMT
• Ryan Matthew Wuebben, DC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.