JACLYN WALLEN
NPI 1083227995
Counselor - Mental Health in Berwyn, IL

Q: What is Jaclyn Wallen's NPI number?

The NPI number for Jaclyn Wallen is 1083227995. It was assigned to this individual provider in the NPPES registry on August 28, 2020.

Q: What is Jaclyn Wallen's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jaclyn Wallen was last updated on August 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since August 28, 2020

6501 STANLEY AVE, BERWYN, IL 60402(708) 484-7400 Get Directions Write a Review

NPPES record last updated: August 28, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jaclyn Wallen NPPES

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

JACLYN WALLEN (NPI 1083227995) is an individual mental health provider in Berwyn, Illinois, licensed in Illinois (180.008708) and active in the NPI registry since August 2020.

NPPES Registry Identity

NPI1083227995

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameJACLYN WALLEN

Location Address6501 STANLEY AVEBerwyn, IL 60402-3123

Mailing Address5018 W 23rd StCicero, IL 60804-2927 · (334) 718-9025

Phone(708) 484-7400

Sole ProprietorNo

Enumeration DateAugust 28, 2020

NPPES CertifiedAugust 28, 2020

✔ NPI 1083227995 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 · 180.008708

6501 STANLEY AVE, Berwyn, IL 60402

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care, Oscar Insurance Company.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

YOUTH CROSSROADS, INC.

Clinic/Center (Adolescent and Children Mental Health)

6501 STANLEY AVE
BERWYN, IL 60402

Cook County (708) 484-7400

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 Jaclyn Wallen's NPI number?

The NPI number for Jaclyn Wallen is 1083227995. It was assigned to this individual provider in the NPPES registry on August 28, 2020.

Where is Jaclyn Wallen located?

Jaclyn Wallen practices at 6501 Stanley Ave, Berwyn, IL 60402. The listed phone number is (708) 484-7400.

What is Jaclyn Wallen's specialty?

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

What insurance does Jaclyn Wallen accept?

Health plans from Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care and Oscar Insurance Company list Jaclyn Wallen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jaclyn Wallen was last updated on August 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.