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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

JENNIFER TINSLEY PMHNP-BC, PLLC
NPI 1790602225
Clinic/Center - Mental Health (Including Community Mental Health Center) in Dieterich, IL

Active since July 06, 2026
203 S MAIN ST, DIETERICH, IL 62424(618) 629-7565(618) 822-4154 Get Directions Write a Review

NPPES record added: July 6, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jennifer Tinsley Pmhnp-bc, Pllc NPPES

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

JENNIFER TINSLEY PMHNP-BC, PLLC (NPI 1790602225), doing business as Life Story Behavioral Health, is a healthcare organization registered as a mental health (including community mental health center) in Dieterich, Illinois and active in the NPI registry since July 2026. The organization lists Jennifer Justine Tinsley, Pmhnp-bc, as its authorized official.

NPPES Registry Identity

NPI1790602225
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameJENNIFER TINSLEY PMHNP-BC, PLLC
Location Address203 S MAIN STDieterich, IL 62424-1128
Mailing Address261 Levi RdLouisville, IL 62858-2784 · (618) 629-7565 · Fax (618) 822-4154
Phone(618) 629-7565
Fax(618) 822-4154
Organization SubpartNo
Authorized OfficialJennifer Justine TinsleyPmhnp-bc · (618) 335-8740
Enumeration DateJuly 6, 2026
NPPES CertifiedJuly 5, 2026
✔ NPI 1790602225 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
203 S MAIN ST, Dieterich, IL 62424
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Other Names 1

Doing Business AsLife Story Behavioral Health

Other Providers at the Same Location NPPES 3

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

INK & IVY PSYCHIATRY, LLC
Nurse Practitioner (Psychiatric/Mental Health)
203 S MAIN ST
DIETERICH, IL 62424
Effingham County (618) 852-1395
MICHELLE RAE BRADDY M.D.
Family Medicine
203 S MAIN ST
DIETERICH, IL 62424
Effingham County (217) 925-5730
MRS. JENNIFER ELIZABETH KISTNER FNP
Nurse Practitioner
203 S MAIN ST
DIETERICH, IL 62424
Effingham County (217) 925-5730

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 Tinsley Pmhnp-Bc, PLLC's NPI number?

The NPI number for Jennifer Tinsley Pmhnp-Bc, PLLC is 1790602225. It was assigned to this organization in the NPPES registry on July 6, 2026. The provider is doing business as Life Story Behavioral Health.

Where is Jennifer Tinsley Pmhnp-Bc, PLLC located?

Jennifer Tinsley Pmhnp-Bc, PLLC is located at 203 S Main St, Dieterich, IL 62424. The listed phone number is (618) 629-7565.

What is Jennifer Tinsley Pmhnp-Bc, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Jennifer Tinsley Pmhnp-Bc, PLLC was last updated on July 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 29 days 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.