Individual provider Active NPI

Alishia Mercherson, MA, LCPC

  • Professional Counselor
  • Chicago, IL
National Provider Identifier
1578089827
Registry record updated Apr 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180.008998 Issued in IL
Practice address
10540 S Western Ave Ste 403
Chicago, IL 60643-2529
Phone
(773) 669-4743
Fax
(773) 634-7994
NPI assigned
Aug 18, 2017
Last updated
Apr 25, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180.008998 IL Primary

Addresses

Primary practice location

10540 S Western Ave Ste 403
Chicago, IL 60643-2529

Mailing address

730 E 163Rd PL
South Holland, IL 60473-2305

Other practice location 1

9730 S Western Ave Ste 215
Evergreen Park, IL 60805-2871
Phone (773) 669-4743

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
180.008998ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Reaching My Destination Counseling Services PLLC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1503014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556150400000",
    "number": "1578089827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 E 163RD PL",
            "city": "SOUTH HOLLAND",
            "state": "IL",
            "postal_code": "604732305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10540 S WESTERN AVE STE 403",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606432529",
            "telephone_number": "773-669-4743",
            "fax_number": "773-634-7994"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9730 S Western Ave Ste 215",
            "address_purpose": "LOCATION",
            "city": "Evergreen Park",
            "state": "IL",
            "postal_code": "608052871",
            "country_code": "US",
            "telephone_number": "773-669-4743",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MERCHERSON",
        "first_name": "ALISHIA",
        "credential": "MA, LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-18",
        "last_updated": "2019-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.008998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2019; 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.