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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MRS. JENNIFER L TILLEY LPC
NPI 1083902662
Counselor - Professional in Salem, MO

Active since July 15, 2011PECOS Enrolled
913 S PERSHING AVE, SALEM, MO 65560(844) 853-8937(660) 885-3690 Get Directions Write a Review

NPPES record last updated: June 26, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Jennifer L Tilley Lpc NPPES

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

MRS. JENNIFER L TILLEY LPC (NPI 1083902662) is an individual professional provider in Salem, Missouri, licensed in Missouri (2011038140) and active in the NPI registry since July 2011. She is enrolled in Medicare PECOS and maintains a secondary practice location in Salem.

NPPES Registry Identity

NPI1083902662
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. JENNIFER L TILLEYCredential: LPC
Location Address913 S PERSHING AVESalem, MO 65560-1845
Mailing Address1800 CommunityClinton, MO 64735-8804 · (844) 853-8937 · Fax (660) 885-3690
Phone(844) 853-8937
Fax(660) 885-3690
Sole ProprietorNo
Enumeration DateJuly 15, 2011
Last NPPES UpdateJune 26, 2026
NPPES CertifiedJune 26, 2026
✔ NPI 1083902662 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MO · 2011038140
913 S PERSHING AVE, Salem, MO 65560
Open in Google Maps ↗

Other Names 1

Former Name (1)Jennifer Satterfield

Secondary Practice Location 1

Location 11048 County Road 5110Salem, MO 65560-8292 · Phone (573) 247-3804

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Jennifer L Tilley Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 10

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

KYLE PRIVETT LPC
Counselor (Professional)
913 S PERSHING AVE
SALEM, MO 65560
Dent County (888) 403-1071
ERUM KHAN M.D.
Psychiatry & Neurology (Psychiatry)
913 S PERSHING AVE
SALEM, MO 65560
Dent County (888) 403-1071
ROSE F KINERK MW
Social Worker
913 S PERSHING AVE
SALEM, MO 65560
Dent County (573) 729-6222
DR. YAZHINI SRIVATHSAL M.B.B.S.
Psychiatry & Neurology (Psychiatry)
913 S PERSHING AVE
SALEM, MO 65560
Dent County (888) 403-1071
MR. GARY BRUCE NASH M. ED., LPC
Counselor (Professional)
913 S PERSHING AVE
SALEM, MO 65560
Dent County (888) 403-1071
MS. AMBER MARIE SIMPSON LPC
Counselor (Professional)
913 S PERSHING AVE
SALEM, MO 65560
Dent County (844) 853-8937
KIMBERELY L INGRAM LPC
Counselor (Professional)
913 S PERSHING AVE
SALEM, MO 65560
Dent County (888) 403-1071
KERRI ATKINSON LPC
Counselor (Professional)
913 S PERSHING AVE
SALEM, MO 65560
Dent County (844) 853-8937

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 Jennifer Tilley's NPI number?

The NPI number for Jennifer Tilley is 1083902662. It was assigned to this individual provider in the NPPES registry on July 15, 2011. The provider is also known as Jennifer Satterfield.

Where is Jennifer Tilley located?

Jennifer Tilley practices at 913 S Pershing Ave, Salem, MO 65560. The listed phone number is (844) 853-8937.

What is Jennifer Tilley's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Jennifer Tilley enrolled in Medicare?

Yes. Jennifer Tilley is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jennifer Tilley was last updated on June 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 45 days 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.