MRS. JALISSA REYNOLDS LCPC
NPI 1417254004
Counselor - Mental Health in Oak Lawn, IL

Q: What is Jalissa Reynolds's NPI number?

The NPI number for Jalissa Reynolds is 1417254004. It was assigned to this individual provider in the NPPES registry on February 17, 2011. The provider is also known as Jalissa Shelby Lcpc.

Q: What is Jalissa Reynolds'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 Jalissa Reynolds was last updated on May 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 February 17, 2011

9631 S CICERO AVE # 1073, OAK LAWN, IL 60453(708) 637-6760 Get Directions Write a Review

NPPES record last updated: May 7, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: May 7, 2024, Aug 17, 2020 (2 updates tracked since 2020).

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About Mrs. Jalissa Reynolds Lcpc NPPES

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

MRS. JALISSA REYNOLDS LCPC (NPI 1417254004) is an individual mental health provider in Oak Lawn, Illinois, licensed in Illinois (180014119) and active in the NPI registry since February 2011.

NPPES Registry Identity

NPI1417254004

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameMRS. JALISSA REYNOLDSCredential: LCPC

Location Address9631 S CICERO AVE # 1073Oak Lawn, IL 60453-3137

Mailing Address631 N Carroll Pkwy Apt 209Glenwood, IL 60425-1161 · (708) 637-6760

Phone(708) 637-6760

Sole ProprietorYes

Enumeration DateFebruary 17, 2011

Last NPPES UpdateMay 7, 20242 updates tracked since enumeration

NPPES CertifiedMay 7, 2024

✔ NPI 1417254004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in IL · 180014119

Also ListedCounselorTaxonomy 101Y00000X

9631 S CICERO AVE # 1073, Oak Lawn, IL 60453

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Other Names 1

Former Name (1)Jalissa Shelby Lcpc

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

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 Jalissa Reynolds's NPI number?

The NPI number for Jalissa Reynolds is 1417254004. It was assigned to this individual provider in the NPPES registry on February 17, 2011. The provider is also known as Jalissa Shelby Lcpc.

Where is Jalissa Reynolds located?

Jalissa Reynolds practices at 9631 S Cicero Ave # 1073, Oak Lawn, IL 60453. The listed phone number is (708) 637-6760.

What is Jalissa Reynolds's specialty?

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

What insurance does Jalissa Reynolds accept?

Health plans from UnitedHealthcare list Jalissa Reynolds 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 Jalissa Reynolds was last updated on May 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.