ALLISON FAYE WOLLERT LPC - NPI 1164994562 - Counselor in Libertyville, IL

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

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About Allison Faye Wollert Lpc NPPES

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

ALLISON FAYE WOLLERT LPC (NPI 1164994562) is an individual mental health provider in Libertyville, Illinois, licensed in Illinois (178.014391) and active in the NPI registry since December 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1164994562

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameALLISON FAYE WOLLERTCredential: LPC

Location Address1641 N MILWAUKEE AVE STE 7Libertyville, IL 60048-1350

Mailing Address358 Woodland DrGrayslake, IL 60030-1450 · (224) 239-0099

Phone(847) 362-6919

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateDecember 23, 2018

✔ NPI 1164994562 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in IL · 178.014391

1641 N MILWAUKEE AVE STE 7, Libertyville, IL 60048

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Providence Health Plan, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Allison Faye Wollert Lpc 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 ID8224471420

PECOS Enrollment IDI20240205002320, I20250217000624

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.

Other Providers at the Same Location NPPES 5

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

DR. FRANCES J PACHECO PSY.D.

Psychologist (Clinical)