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JESSICA CARLISLE LCPC, ATR-BC
NPI 1902495435
Counselor - Professional in Chicago, IL

Active since January 11, 2021PECOS Enrolled
1628 W MONTROSE AVE, CHICAGO, IL 60613(773) 654-1865 Get Directions Write a Review

NPPES record last updated: April 10, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 10, 2025, Jan 11, 2021 (2 updates tracked since 2021).

About Jessica Carlisle Lcpc, Atr-bc NPPES

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

JESSICA CARLISLE LCPC, ATR-BC (NPI 1902495435) is an individual professional provider in Chicago, Illinois, licensed in Illinois (180.016034) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Chicago, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1902495435
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJESSICA CARLISLECredential: LCPC, ATR-BC
Location Address1628 W MONTROSE AVEChicago, IL 60613-1214
Mailing Address2043 W Belmont Ave Apt 4Chicago, IL 60618-6796 · (815) 545-1530
Phone(773) 654-1865
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJanuary 11, 2021
Last NPPES UpdateApril 10, 20252 updates tracked since enumeration
NPPES CertifiedApril 10, 2025
✔ NPI 1902495435 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses✔ Licensed in IL · 180.016034✔ Licensed in IL · 178.015285
1628 W MONTROSE AVE, Chicago, IL 60613
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Secondary Practice Location 1

Location 12630 W Fletcher St # 1Chicago, IL 60618-7110 · Phone (847) 651-8643

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Carlisle Lcpc, Atr-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2961917992
PECOS Enrollment IDI20250717001130
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 7

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

REBECCA VICHI LPC, ATR
Counselor
1628 W MONTROSE AVE
CHICAGO, IL 60613
Cook County (773) 654-1865
MRS. CAROLINE KELLY TYE LCPC, ATR-BC
Counselor (Professional)
1628 W MONTROSE AVE
CHICAGO, IL 60613
Cook County (847) 651-8643
CASSIDY ADAMS
Counselor (Mental Health)
1628 W MONTROSE AVE
CHICAGO, IL 60613
Cook County (270) 945-5076
TANYA SALAZAR LPC, ATR
Counselor (Professional)
1628 W MONTROSE AVE
CHICAGO, IL 60613
Cook County (773) 654-1865
ALEXA RODRIGUEZ COSTA
Counselor (Mental Health)
1628 W MONTROSE AVE
CHICAGO, IL 60613
Cook County (773) 654-1865
REAGAN SWORD LPC, ATR-P
Counselor (Professional)
1628 W MONTROSE AVE
CHICAGO, IL 60613
Cook County (847) 307-6100
DANDELION THERAPEUTIC ART CENTER
Counselor (Mental Health)
1628 W MONTROSE AVE
CHICAGO, IL 60613
Cook County (847) 651-8643

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 Jessica Carlisle's NPI number?

The NPI number for Jessica Carlisle is 1902495435. It was assigned to this individual provider in the NPPES registry on January 11, 2021.

Where is Jessica Carlisle located?

Jessica Carlisle practices at 1628 W Montrose Ave, Chicago, IL 60613. The listed phone number is (773) 654-1865.

What is Jessica Carlisle's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Jessica Carlisle enrolled in Medicare?

Yes. Jessica Carlisle is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jessica Carlisle was last updated on April 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.