JISELLE ROMAN LCPC
NPI 1750703583
Counselor - Professional in Chicago Ridge, IL

Active since January 14, 2014
10720 PRINCESS AVE, CHICAGO RIDGE, IL 60415(773) 627-7914(708) 575-6527 Get Directions Write a Review

NPPES record last updated: March 31, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 31, 2023, May 16, 2022, Oct 21, 2019 and 3 more (6 updates tracked since 2017).

About Jiselle Roman Lcpc NPPES

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

JISELLE ROMAN LCPC (NPI 1750703583) is an individual professional provider in Chicago Ridge, Illinois, licensed in Illinois (180.009936) and active in the NPI registry since January 2014.

NPPES Registry Identity

NPI1750703583
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJISELLE ROMANCredential: LCPC
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
Sole ProprietorYes
Enumeration DateJanuary 14, 2014
Last NPPES UpdateMarch 31, 20236 updates tracked since enumeration
NPPES CertifiedMarch 24, 2023
NPI 1750703583 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses Licensed in IL · 180.009936 Licensed in IL · 178.007483
Also ListedCounselor · SchoolTaxonomy 101YS0200X · License 2388551 (IL)
10720 PRINCESS AVE, Chicago Ridge, IL 60415

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's NPI number?

The NPI number for Jiselle Roman is 1750703583. It was assigned to this individual provider in the NPPES registry on January 14, 2014.

Where is Jiselle Roman located?

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

What is Jiselle Roman'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 was last updated on March 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.