ALLISON FAYE WOLLERT (NPI# 1164994562) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164994562 |
| Entity Type | Individual |
| Full Name | ALLISON FAYE WOLLERT |
| Credential | LPC |
| Practice Address |
1641 N Milwaukee Ave Ste 7 Libertyville IL 60048-1350 |
| Mailing Address |
358 Woodland Dr Grayslake IL 60030-1450 |
| Practice Telephone | 8473626919 |
| Mailing Telephone | 2242390099 |
| Enumeration Date | 2018-12-23 |
| Last Update Date | 2018-12-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
178.014391 | IL | Behavioral Health & Social Service Providers |
| Street Address |
1641 N MILWAUKEE AVE STE 7 |
| City | LIBERTYVILLE |
| State | IL |
| Zip Code | 60048-1350 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881783389 | Frances J Pacheco | Psychologist | 1641 N Milwaukee Ave Ste 7, Libertyville, IL 60048-1350 | 2006-10-12 |
| 1639781107 | Ashley May York | Student in an Organized Health Care Education/Training Program | 1641 N Milwaukee Ave Ste 7, Libertyville, IL 60048-1350 | 2020-08-17 |
| 1184104770 | Catherine Lois Hoff | Student in an Organized Health Care Education/Training Program | 1641 N Milwaukee Ave Ste 7, Libertyville, IL 60048-1350 | 2018-08-14 |
| 1720339641 | Itoro Udoeyop | Counselor | 1641 N Milwaukee Ave Ste 7, Libertyville, IL 60048 | 2012-10-02 |
| 1669562559 | The Family Stress Clinic | Clinic/Center | 1641 N Milwaukee Ave Ste 7, Libertyville, IL 60048-1350 | 2006-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184119950 | Park Avenue Dental Professionals, PC | Dentist | 1001 W. Park Avenue, Libertyville, IL 60048 | 2018-06-25 |
| 1437643525 | Shanna Coyle | Registered Nurse | 1128 Jaimee Ln, Libertyville, IL 60048 | 2018-06-21 |
| 1366943672 | Jackie Rayyan | Behavior Technician | 917 Sherwood Drive, Suite 201, Lake Bluff, IL 60048 | 2018-02-22 |
| 1851804850 | Mary E. Linsey | Counselor | 34180 Highway 45, Libertyville, IL 60048 | 2017-11-13 |
| 1962929018 | Affinity Integrated Healthcare | Chiropractor | 736 Florsheim Dr, St 12, Libertyville, IL 60048 | 2017-08-29 |
| 1164946471 | Christianna Patterson | Speech-Language Pathologist | 1870 W Winchester Rd #203, Libertyville, IL 60048 | 2017-07-28 |
| 1962938407 | Kyle Winiger | Specialist/Technologist | 4551 West Gavin Lane, Libertyville, IL 60048 | 2017-05-03 |
| 1396291530 | Karyn Kolner | Physical Therapist | 860 W Winchester Rd, #108, Libertyville, IL 60048 | 2016-08-28 |
| 1477900785 | Medlogic LLC | Clinic/Center | 114 West Rockland Road, Suite 201, Libertyville, IL 60048 | 2016-05-17 |
| 1477926343 | Robert Mcnulty | Student in an Organized Health Care Education/Training Program | 1313 Crane Blvd, Libertyville, IL 60048 | 2015-11-02 |
| Find all providers in zip 60048 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710245568 | Denise C Ramirez | Counselor | 1113 S. Milwaukee Ave, #104, Libertyville, IL 60048 | 2012-04-30 |
| 1346345824 | Holly C Bosier Licensed Clinical Professional Counselor PC | Counselor | 1590 S Milwaukee Ave, Suite 303, Libertyville, IL 60048 | 2006-09-13 |
| 1467062356 | Glenisha Lavene Cole Foreman | Counselor | 1860 W Winchester Rd Ste 205, Libertyville, IL 60048-5317 | 2020-08-05 |
| 1306306378 | David Gray P.C. | Counselor | 1580 S Milwaukee Ave, Libertyville, IL 60048-3764 | 2019-03-25 |
| 1356860282 | Lucas M Tillett | Counselor | 1580 S Milwaukee Ave Ste 307, Libertyville, IL 60048-3773 | 2017-09-12 |
| 1932646742 | Hillary Deblois | Counselor | 18698 W Peterson Rd, Libertyville, IL 60048-1052 | 2017-01-31 |
| 1346785011 | Marianny Arribas | Counselor | 1113 S Milwaukee Ave, Ste 104, Libertyville, IL 60048-3758 | 2017-01-04 |
| 1053866483 | Bithynia Abarca | Counselor | 1113 S Milwaukee Ave, Suite 104, Libertyville, IL 60048-3758 | 2016-08-15 |
| 1386017184 | Lydia Schlueter | Counselor | 1590 S Milwaukee Ave, Suite 302, Libertyville, IL 60048-3793 | 2015-11-03 |
| 1194118802 | Faya Kacos-shiu | Counselor | 150 E. Cook Ave., Suite 100, Libertyville, IL 60048-2060 | 2015-03-05 |
| Find all providers in LIBERTYVILLE | ||||
| City | LIBERTYVILLE |
| Zip Code | 60048 |
Please comment or provide details below to improve the information on ALLISON FAYE WOLLERT.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.