Elizabeth Jean Wilton, MA, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180006152 Issued in IL

Practice address

2526 N Lincoln Ave
Suite 218
Chicago, IL 60614-2353

Phone

(847) 574-7574

NPI assigned

Oct 24, 2007

Reactivated

Feb 19, 2019

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 1, 2024 through Jan 1, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Elizabeth Wilton Therapy, LLC

  • Professional Counselor
  • Evanston, IL
  • NPI 1922577949
  NPD (past) Authorized official

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

{
    "created_epoch": "1193184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550534400000",
    "number": "1669661872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7523 N CLAREMONT AVE",
            "address_2": "UNIT G",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606451514",
            "telephone_number": "773-396-8607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2526 N LINCOLN AVE",
            "address_2": "SUITE 218",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606142353",
            "telephone_number": "847-574-7574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILTON",
        "first_name": "ELIZABETH",
        "middle_name": "JEAN",
        "credential": "MA, LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-24",
        "last_updated": "2019-02-19",
        "deactivation_date": "2018-11-30",
        "reactivation_date": "2019-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180006152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William B Wilson Jr., DDS
• Xavier Wilson
• Yvette T Wilson, NURSE PRACTITIONER
• Emily Ann Wilt, MD
• Sarah Wiltgen, LCPC
• Jan L Wiltsie, NP
• Lauryn Wiltz, RBT
• Lanaya Wims
• Daniel Polin Wimsatt III, MSW LCSW
• Win Care Medical Consultants LTD

• 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 Feb 19, 2019; 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.