DR. ALICIA V FAHR (PH.D. LPC) – Professional Counselor, NPI 1720242399
Professional Counselor
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,307 MENTAL HEALTH COUNSELOR in IL
Provider Addresses for DR. ALICIA V FAHR (PH.D. LPC)
1361 Branchwood Cir Apt 201
Naperville, IL 605634107
Phone: (612) 747-0414
Type: Location
1900, Silver Lake Road Northwest, New Brighton, Ramsey County, Minnesota, 55112, United States
SUITE 110
NEW BRIGHTON, MN 551121786
Phone: (651) 628-9566
Fax: (651) 628-0411
Type: Mailing
Edina Realty, 13603, 80th Circle North, Grove Square Plaza, Maple Grove, Hennepin County, Minnesota, 55369, United States
MAPLE GROVE, MN 553698961
Phone: (763) 416-1489
Fax: (763) 416-3957
Type: Location
1361 BRANCHWOOD CIR APT 201
NAPERVILLE, IL 605634107
Phone: (612) 747-0414
Type: Mailing
300 68TH ST SE
GRAND RAPIDS, MI 495486927
Phone: (616) 455-5000
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: 2025-01-17
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 8 Medicare enrollment records; no due dates published yet.
Enrollment records
8
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240321000737 | I | Mental Health Counselor | DC | TBD |
| I20240325001796 | I | Mental Health Counselor | CA | TBD |
| I20240425002665 | I | Mental Health Counselor | WA | TBD |
| I20240425003762 | I | Mental Health Counselor | AZ | TBD |
| I20240430000113 | I | Mental Health Counselor | ME | TBD |
| I20240503002918 | I | Mental Health Counselor | VA | TBD |
| I20240814001746 | I | Mental Health Counselor | IL | TBD |
| I20250117002378 | I | Mental Health Counselor | MI | TBD |
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.
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 60563)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Mental Health Counselor | IL | |
| Clinical Social Worker | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Clinical Social Worker | IL | |
| Nurse Practitioner | IL | |
| Mental Health Counselor | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL |
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