ALICE WILKERSON (PH.D.) – Counseling Psychologist, NPI 1356312987

ALICE WILKERSON (PH.D.) is a healthcare provider. based in Roanoke, Virginia. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials PH.D.. They hold a License No. 0701000968 (VA). The NPI Number for ALICE WILKERSON (PH.D.) is 1356312987

Main info

Female
44 Years Of Experience
Accepts Medicare Assignment
Name
ALICE WILKERSON (PH.D.)
NPI
1356312987
Phone
(540) 772-5140
Address
2762 ELECTRIC RD
Enumeration Date
31 January 2006
Last Update Date
11 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5407777087
Graduation Year
1982 (44 years ago)
PAC ID
4385171685
Group Practice PAC ID
4981606076
Professional Enrollment ID
I20241227001690
Address ID
VA240183551RO2840XRDXX306
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness85
Years active:20State licenses:1Digital endpointsOther names

1,998 MENTAL HEALTH COUNSELOR in VA

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Provider Addresses for ALICE WILKERSON (PH.D.)

  • 2762, Electric Road, Orander Park, Cave Spring, Roanoke County, Virginia, 24018, United States

    SUITE C

    ROANOKE, VA 240183582

    Phone: (540) 772-5140

    Fax: (540) 772-5131

    Mailing address matches the actual address.

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: 2024-12-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20241227001690IMental Health CounselorVATBD

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 24018)

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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: 4981606076View full group profile
NameSpecialtyState
Clinical PsychologistNH
Clinical Social WorkerVA
Clinical Social WorkerVA
-VA
Clinical Social WorkerVA
-VA
Clinical PsychologistVA
Clinical PsychologistVA
Clinical Social WorkerVA
Clinical Social WorkerVA

Reviews

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Frequently asked questions

Can I verify ALICE WILKERSON (PH.D.) with an NPI only?
You can start verification with NPI 1356312987 for ALICE WILKERSON (PH.D.), then check state licensing separately.
Does the file indicate ALICE WILKERSON (PH.D.) is practicing under active NPI?
Directory data currently reports ALICE WILKERSON (PH.D.) as active.
What taxonomy line describes ALICE WILKERSON (PH.D.)?
For research purposes, treat ALICE WILKERSON (PH.D.) as Counseling Psychologist in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect ALICE WILKERSON (PH.D.) on a map?
Expect Roanoke, Virginia as a primary anchor for ALICE WILKERSON (PH.D.) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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