ALISA L THOMPSON LPC
NPI 1740574037
Counselor - Professional in Janesville, WI

Active since June 03, 2011PECOS Enrolled
17 S RIVER ST, SUITE 254, JANESVILLE, WI 53548(608) 755-5260(608) 755-5267 Get Directions Write a Review

NPPES record last updated: March 25, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Alisa L Thompson Lpc NPPES

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

ALISA L THOMPSON LPC (NPI 1740574037) is an individual professional provider in Janesville, Wisconsin, licensed in Wisconsin (4597) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1740574037
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameALISA L THOMPSONCredential: LPC
Location Address17 S RIVER ST, SUITE 254Janesville, WI 53548-3860
Mailing Address17 S River St, Suite 254Janesville, WI 53548-3860 · (608) 755-5260 · Fax (608) 755-5267
Fax(608) 755-5267
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateJune 3, 2011
Last NPPES UpdateMarch 25, 2024
NPPES CertifiedMarch 25, 2024
✔ NPI 1740574037 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 WI · 4597
17 S RIVER ST, Janesville, WI 53548

Other Names 1

Former Name (1)Alisa Waletzko

Other Identifiers 1

Medicaid1740574037WI

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alisa L Thompson Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4385082668
PECOS Enrollment IDI20240405000128
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 Alisa Thompson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Same address
Mental Health (Including Community Mental Health Center)
17 S. RIVER ST., SUITE 254
Janesville, WI 53548
  • Reassigned Medicare billing, Wisconsin enrollment
  • 14 clinicians in this Medicare group

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 7

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

Counselor (Professional)
17 S RIVER ST, 254
JANESVILLE, WI 53548
Clinic/Center (Mental Health (Including Community Mental Health Center))
17 S RIVER ST
JANESVILLE, WI 53548
Counselor (Professional)
17 S RIVER ST
JANESVILLE, WI 53548
Counselor (Professional)
17 S RIVER ST, SUITE 254
JANESVILLE, WI 53548
Counselor (Mental Health)
17 S RIVER ST, 254
JANESVILLE, WI 53548
Physician Assistant (Medical)
17 S RIVER ST, SUITE 254
JANESVILLE, WI 53548
Social Worker (Clinical)
17 S RIVER ST
JANESVILLE, WI 53548

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alisa Thompson's NPI number?

The NPI number for Alisa Thompson is 1740574037. It was assigned to this individual provider in the NPPES registry on June 3, 2011. The provider is also known as Alisa Waletzko.

Where is Alisa Thompson located?

Alisa Thompson practices at 17 S River St Suite 254, Janesville, WI 53548. The listed phone number is (608) 755-5260.

What is Alisa Thompson's specialty?

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

Is Alisa Thompson enrolled in Medicare?

Yes. Alisa Thompson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Alisa Thompson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alisa Thompson reassigns Medicare benefits to Trivium LLC (Janesville, WI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Alisa Thompson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Alisa Thompson accept?

Health plans from Anthem Blue Cross and Blue Shield, Dean Health Plan, Group Health Cooperative-SCW, MercyCare and MercyCare Health Plans list Alisa Thompson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Alisa Thompson was last updated on March 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.