JENNIFER ILLIS
NPI 1376339861
Counselor - Professional in Bedminster, NJ

Active since April 19, 2025
82 WESCOTT RD, BEDMINSTER, NJ 07921(732) 407-9783 Get Directions Write a Review

NPPES record last updated: May 9, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jennifer Illis NPPES

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

JENNIFER ILLIS (NPI 1376339861) is an individual professional provider in Bedminster, New Jersey, licensed in New Jersey (37PC01035500) and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1376339861
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJENNIFER ILLIS
Location Address82 WESCOTT RDBedminster, NJ 07921-2003
Mailing Address82 Wescott RdBedminster, NJ 07921-2003
Sole ProprietorYes
Enumeration DateApril 19, 2025
Last NPPES UpdateMay 9, 2025
NPPES CertifiedMay 9, 2025
NPI 1376339861 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 NJ · 37PC01035500
82 WESCOTT RD, Bedminster, NJ 07921

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 Illis's NPI number?

The NPI number for Jennifer Illis is 1376339861. It was assigned to this individual provider in the NPPES registry on April 19, 2025.

Where is Jennifer Illis located?

Jennifer Illis practices at 82 Wescott Rd, Bedminster, NJ 07921. The listed phone number is (732) 407-9783.

What is Jennifer Illis's specialty?

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

When was this NPI record last updated?

The NPPES record for Jennifer Illis was last updated on May 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.