Individual provider Active NPI

Alyssa Raiche-Salek, LCPC

  • Professional Counselor
  • Palatine, IL
National Provider Identifier
1770330417
Registry record updated May 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180.016063 Issued in IL
Practice address
1240 W Northwest Hwy
Palatine, IL 60067-1897
Phone
(773) 592-7227
NPI assigned
May 1, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 180.016063 IL
Professional Counselor 101YP2500X 180.016063 IL Primary

Addresses

Primary practice location

1240 W Northwest Hwy
Palatine, IL 60067-1897

Mailing address

9012 65TH St
Kenosha, WI 53142-7243
Phone (715) 938-4095

Other practice location 1

9012 65th St
Kenosha, WI 53142-7243
Phone (715) 938-4095

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240725002641 IL Practitioner - Mental Health Counselor 1052857083 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lotus Wellness Center PCGroup PAC ID 8921375908, 7 clinicians

Practice addresses (Care Compare)

1240 W Northwest Hwy
Palatine, IL 60067-1897
Phone (773) 592-7227

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
180.016063ILMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lotus Wellness Center P.C. Mental Health CurrentSince Jun 15, 2024 Accepting new patients

Locations

1240 W Northwest Hwy
Palatine, IL 60067
Phone (773) 592-7227

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1714521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714521600000",
    "number": "1770330417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9012 65TH ST",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531427243",
            "telephone_number": "715-938-4095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 W NORTHWEST HWY",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600671897",
            "telephone_number": "773-592-7227"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9012 65th St",
            "address_purpose": "LOCATION",
            "city": "Kenosha",
            "state": "WI",
            "postal_code": "531427243",
            "country_code": "US",
            "telephone_number": "715-938-4095",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAICHE-SALEK",
        "first_name": "ALYSSA",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-01",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180.016063",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.016063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palatine, IL

Sources for this page

Verify at the official NPI Registry.