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TINA M JEROLDS
NPI 1003540576
Counselor - Mental Health in Jonesboro, IL

Active since July 12, 2022
15 GREEN ACRES LN, JONESBORO, IL 62952(618) 697-3834 Get Directions Write a Review

NPPES record last updated: July 12, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Tina M Jerolds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TINA M JEROLDS (NPI 1003540576) is an individual mental health provider in Jonesboro, Illinois, licensed in Illinois (149.010409) and active in the NPI registry since July 2022.

NPPES Registry Identity

NPI1003540576
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameTINA M JEROLDS
Location Address15 GREEN ACRES LNJonesboro, IL 62952-1325
Mailing Address15 Green Acres LnJonesboro, IL 62952-1325
Phone(618) 697-3834
Sole ProprietorYes
Enumeration DateJuly 12, 2022
NPPES CertifiedJuly 12, 2022
✔ NPI 1003540576 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in IL · 149.010409
15 GREEN ACRES LN, Jonesboro, IL 62952
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tina Jerolds's NPI number?

The NPI number for Tina Jerolds is 1003540576. It was assigned to this individual provider in the NPPES registry on July 12, 2022.

Where is Tina Jerolds located?

Tina Jerolds practices at 15 Green Acres Ln, Jonesboro, IL 62952. The listed phone number is (618) 697-3834.

What is Tina Jerolds's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Tina Jerolds was last updated on July 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.