ALYSSA RAICHE-SALEK (LCPC) – Professional Counselor, NPI 1770330417

ALYSSA RAICHE-SALEK (LCPC) is a healthcare provider. based in Kenosha, Wisconsin. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LCPC. They hold a License No. 180.016063 (IL). The NPI Number for ALYSSA RAICHE-SALEK (LCPC) is 1770330417

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
ALYSSA RAICHE-SALEK (LCPC)
NPI
1770330417
Phone
(715) 938-4095
Address
9012 65TH ST
Enumeration Date
1 May 2024
Last Update Date
1 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7735927227
Graduation Year
2021 (5 years ago)
PAC ID
1052857083
Group Practice PAC ID
8921375908
Professional Enrollment ID
I20240725002641
Address ID
IL600671897PA1240XHWYX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience33
Completeness75
Years active:2State licenses:1Digital endpointsOther names

2,356 MENTAL HEALTH COUNSELOR in IL

Provider Addresses for ALYSSA RAICHE-SALEK (LCPC)

  • 9012 65TH ST

    KENOSHA, WI 531427243

    Phone: (715) 938-4095

    Type: Mailing

  • 1240 W NORTHWEST HWY

    PALATINE, IL 600671897

    Phone: (773) 592-7227

    Type: Location

  • 9012 65th St

    Kenosha, WI 531427243

    Phone: (715) 938-4095

    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: 2024-07-25

PECOS data refreshed: 2026-06-15

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
I20240725002641IMental Health CounselorILTBD

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 53142)

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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: 8921375908View full group profile
NameSpecialtyState
Mental Health CounselorIL
Mental Health CounselorIL
C H I R O P R A C T I CIL
Mental Health CounselorIL
Clinical PsychologistIL
Clinical Social WorkerIL

Reviews

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Frequently asked questions

Does ALYSSA RAICHE-SALEK (LCPC) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — ALYSSA RAICHE-SALEK (LCPC) uses 1770330417.
Does the file indicate ALYSSA RAICHE-SALEK (LCPC) is practicing under active NPI?
Directory data currently reports ALYSSA RAICHE-SALEK (LCPC) as active.
What taxonomy line describes ALYSSA RAICHE-SALEK (LCPC)?
For research purposes, treat ALYSSA RAICHE-SALEK (LCPC) as Professional Counselor in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect ALYSSA RAICHE-SALEK (LCPC) on a map?
Expect Kenosha, Wisconsin as a primary anchor for ALYSSA RAICHE-SALEK (LCPC) 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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