JISELLE ROMAN LCPC PLLC
NPI 1649917345
Counselor - Professional in Chicago Ridge, IL

Active since May 16, 2022
10720 PRINCESS AVE, CHICAGO RIDGE, IL 60415(773) 627-7914(708) 575-6527 Get Directions Write a Review

NPPES record last updated: November 4, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 4, 2023, May 16, 2022 (2 updates tracked since 2022).

About Jiselle Roman Lcpc Pllc NPPES

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

JISELLE ROMAN LCPC PLLC (NPI 1649917345) is a healthcare organization registered as a professional in Chicago Ridge, Illinois and active in the NPI registry since May 2022. The organization lists Jiselle Roman, Licensed Clinical Professional Coun, as its authorized official.

NPPES Registry Identity

NPI1649917345
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameJISELLE ROMAN LCPC PLLC
Location Address10720 PRINCESS AVEChicago Ridge, IL 60415-2139
Mailing Address9631 S Cicero Ave # 1459Oak Lawn, IL 60453-3137 · (773) 627-7914 · Fax (708) 575-6527
Fax(708) 575-6527
Organization SubpartNo
Authorized OfficialJiselle RomanLicensed Clinical Professional Coun · (773) 627-7914
Enumeration DateMay 16, 2022
Last NPPES UpdateNovember 4, 20232 updates tracked since enumeration
NPPES CertifiedNovember 4, 2023
NPI 1649917345 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
10720 PRINCESS AVE, Chicago Ridge, IL 60415

Other Identifiers 1

Other1750703583IL · Npi 1

Other Providers at the Same Location NPPES 2

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

Counselor (Professional)
10720 PRINCESS AVE
CHICAGO RIDGE, IL 60415
Counselor (Professional)
10720 PRINCESS AVE
CHICAGO RIDGE, IL 60415

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 Jiselle Roman Lcpc PLLC's NPI number?

The NPI number for Jiselle Roman Lcpc PLLC is 1649917345. It was assigned to this organization in the NPPES registry on May 16, 2022.

Where is Jiselle Roman Lcpc PLLC located?

Jiselle Roman Lcpc PLLC is located at 10720 Princess Ave, Chicago Ridge, IL 60415. The listed phone number is (773) 627-7914.

What is Jiselle Roman Lcpc PLLC'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 Jiselle Roman Lcpc PLLC was last updated on November 4, 2023. 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.