ALICIA ANN WILSON-THOMAS NCC, LCPC
NPI 1053961524
Counselor - Professional in Chicago, IL

Q: What is Alicia Wilson-thomas's NPI number?

The NPI number for Alicia Wilson-thomas is 1053961524. It was assigned to this individual provider in the NPPES registry on September 17, 2019.

Q: What is Alicia Wilson-thomas's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Active since September 17, 2019PECOS EnrolledAccepts Medicare Assignment

25 E WASHINGTON ST STE 1835, CHICAGO, IL 60602(312) 940-3655(312) 374-4966 Get Directions Write a Review

NPPES record last updated: November 20, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 20, 2023, Nov 13, 2023, Sep 17, 2019 (3 updates tracked since 2019).

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About Alicia Ann Wilson-thomas Ncc, Lcpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALICIA ANN WILSON-THOMAS NCC, LCPC (NPI 1053961524) is an individual professional provider in Chicago, Illinois, licensed in Illinois (180014048) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1053961524

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameALICIA ANN WILSON-THOMASCredential: NCC, LCPC

Location Address25 E WASHINGTON ST STE 1835Chicago, IL 60602-1836

Mailing Address6709 S Langley AveChicago, IL 60637-4136 · (773) 368-6153

Phone(312) 940-3655

Fax(312) 374-4966

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateSeptember 17, 2019

Last NPPES UpdateNovember 20, 20233 updates tracked since enumeration

NPPES CertifiedNovember 20, 2023

✔ NPI 1053961524 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in IL · 180014048

25 E WASHINGTON ST STE 1835, Chicago, IL 60602

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Secondary Practice Locations 3

Location 1212 S Francisco AveChicago, IL 60612-3618 · Phone (773) 696-3309 · Fax (773) 217-9364

Location 23605 W Fillmore StChicago, IL 60624-4310 · Phone (773) 588-0180 · Fax (773) 588-7762

Location 310046 S Western AveChicago, IL 60643-1926 · Phone (773) 429-0300 · Fax (773) 429-5736

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Alicia Ann Wilson-thomas Ncc, Lcpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6305295247

PECOS Enrollment IDI20240228003895

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Alicia Wilson-thomas reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lifepath Therapy Associates, LLC

Same address

Clinical

25 E WASHINGTON ST STE 1837
Chicago, IL 60602

Reassigned Medicare billing, Illinois enrollment
16 clinicians in this Medicare group

NPI 1629636394 (773) 413-9389

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SAMANTHA ELIZABETH PERRY

Social Worker (Clinical)