ALLISON FAYE WOLLERT (LPC) – Mental Health Counselor, NPI 1164994562

ALLISON FAYE WOLLERT (LPC) is a healthcare provider. based in Grayslake, Illinois. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LPC. They hold a License No. 178.014391 (IL). The NPI Number for ALLISON FAYE WOLLERT (LPC) is 1164994562

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
ALLISON FAYE WOLLERT (LPC)
NPI
1164994562
Phone
(224) 239-0099
Address
358 WOODLAND DR
Enumeration Date
23 December 2018
Last Update Date
23 December 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8478166335
Graduation Year
2018 (8 years ago)
PAC ID
8224471420
Group Practice PAC ID
0042432296
Professional Enrollment ID
I20250217000624
Address ID
WI531441719KE4600XRDXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

2,307 MENTAL HEALTH COUNSELOR in IL

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Provider Addresses for ALLISON FAYE WOLLERT (LPC)

  • 358, Woodland Drive, Grayslake, Lake County, Illinois, 60030, United States

    GRAYSLAKE, IL 600301450

    Phone: (224) 239-0099

    Type: Mailing

  • North Milwaukee Avenue, Libertyville, Lake County, Illinois, 60061, United States

    LIBERTYVILLE, IL 600481350

    Phone: (847) 362-6919

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-02-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240205002320IMental Health CounselorILTBD
I20250217000624IMental Health CounselorWITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60030)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0042432296View full group profile
NameSpecialtyState
Physician AssistantIL
Clinical PsychologistME
Clinical PsychologistIL
Clinical Social WorkerWI
Clinical PsychologistIL
Physician AssistantIL
P S Y C H I A T R YAR
Nurse PractitionerWI
Psychiatry, NeurologyNY
Nurse PractitionerIL

Reviews

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Frequently asked questions

How do I look up ALLISON FAYE WOLLERT (LPC) by NPI?
Use NPI 1164994562 when you need to reference ALLISON FAYE WOLLERT (LPC) in forms, claims, or directories.
Does this profile mean ALLISON FAYE WOLLERT (LPC) is currently active?
Yes — ALLISON FAYE WOLLERT (LPC) appears active in the national provider directory.
Does ALLISON FAYE WOLLERT (LPC) list a primary specialty?
If you are matching referrals, note Mental Health Counselor for ALLISON FAYE WOLLERT (LPC). Clinical services aligned with this taxonomy classification.
What location shows for ALLISON FAYE WOLLERT (LPC)?
We surface Grayslake, Illinois for ALLISON FAYE WOLLERT (LPC) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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