Individual provider Active NPI

Alice Fitzgerald, LCPC

  • Professional Counselor
  • Lemont, IL
National Provider Identifier
1861983595
Registry record updated Sep 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180010744 Issued in IL
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

Updated by the provider on Sep 21, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 133 clinicians

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

LicenseStateTypeSpecialty
180010744ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
CMC Healthcare LLC CurrentSince Jul 13, 2024 Accepting new patients
Alliance Counseling & Coaching of Illinois, LLC Professional CurrentSince Jan 1, 2024 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.

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

Verify at the official NPI Registry.