Active NPI
Alice Fitzgerald, LCPC
- Professional Counselor
- Lemont, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180010744
- Practice address
- 1384 Saint Vincents Dr
Lemont, IL 60439-8509 - Phone
- (630) 886-8650
- NPI assigned
- May 29, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | IL | ||
| Mental Health Counselor | 101YM0800X | IL | ||
| Professional Counselor | 101YP2500X | IL | ||
| Professional Counselor | 101YP2500X | 180010744 | IL | Primary |
Addresses
Primary practice location
1384 Saint Vincents Dr
Lemont, IL 60439-8509
Mailing address
1384 Saint Vincents Dr
Lemont, IL 60439-8509
Phone (630) 886-8650
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240212000694 | IL | Practitioner - Mental Health Counselor | 2860835469 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- CMC Healthcare LLC
Practice addresses (Care Compare)
306 N Larkin Ave
Joliet, IL 60435-6698
Phone (815) 744-5560
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180010744 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CMC Healthcare LLC | Current | Accepting new patients | |
| Alliance Counseling & Coaching of Illinois, LLC | Professional | Current | Accepting new patients |
Locations
25224 W Eames St
Channahon, IL 60410
Phone (815) 467-8181
25224 W Eames St
Ste D
Channahon, IL 60410
Phone (815) 467-8181
2451 W Touhy Ave
Chicago, IL 60645
Phone (312) 593-5599
2201 Main St
Evanston, IL 60202
Phone (847) 905-3000
Organizations & group practices 3
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.
-
- Professional Counselor
- Channahon, IL
- NPI 1063867257
IL, Professional
-
- Professional Counselor
- Bolingbrook, IL
- NPI 1467168906
IL
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695254400000",
"number": "1861983595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1384 SAINT VINCENTS DR",
"city": "LEMONT",
"state": "IL",
"postal_code": "604398509",
"telephone_number": "630-886-8650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1384 SAINT VINCENTS DR",
"city": "LEMONT",
"state": "IL",
"postal_code": "604398509",
"telephone_number": "630-886-8650"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FITZGERALD",
"first_name": "ALICE",
"credential": "LCPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-05-29",
"last_updated": "2023-09-21",
"certification_date": "2023-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "IL",
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IL",
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180010744",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lemont, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.