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MS. ELISA RENEE JELLEN L.PC
NPI 1689902645
Counselor - Professional in Glen Carbon, IL

Active since December 02, 2009
30 GRAINEY DR, GLEN CARBON, IL 62034(618) 205-3615 Get Directions Write a Review

NPPES record last updated: December 2, 2009. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Ms. Elisa Renee Jellen L.pc NPPES

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

MS. ELISA RENEE JELLEN L.PC (NPI 1689902645) is an individual professional provider in Glen Carbon, Illinois, licensed in Missouri (2009009733) and active in the NPI registry since December 2009.

NPPES Registry Identity

NPI1689902645
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMS. ELISA RENEE JELLENCredential: L.PC
Location Address30 GRAINEY DRGlen Carbon, IL 62034-3217
Mailing Address30 Grainey DrGlen Carbon, IL 62034-3217 · (618) 205-3615
Phone(618) 205-3615
Sole ProprietorYes
Enumeration DateDecember 2, 2009
✔ NPI 1689902645 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 · 2009009733
30 GRAINEY DR, Glen Carbon, IL 62034
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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 Elisa Jellen's NPI number?

The NPI number for Elisa Jellen is 1689902645. It was assigned to this individual provider in the NPPES registry on December 2, 2009.

Where is Elisa Jellen located?

Elisa Jellen practices at 30 Grainey Dr, Glen Carbon, IL 62034. The listed phone number is (618) 205-3615.

What is Elisa Jellen'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 Elisa Jellen was last updated on December 2, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.