JACKLYN M RALPH MHP
NPI 1922671783
Counselor - Mental Health in Pontiac, IL

Active since July 20, 2021
920 W CUSTER AVE, PONTIAC, IL 61764(815) 844-6109 Get Directions Write a Review

NPPES record last updated: July 20, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacklyn M Ralph Mhp NPPES

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

JACKLYN M RALPH MHP (NPI 1922671783) is an individual mental health provider in Pontiac, Illinois and active in the NPI registry since July 2021.

NPPES Registry Identity

NPI1922671783
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJACKLYN M RALPHCredential: MHP
Location Address920 W CUSTER AVEPontiac, IL 61764-1067
Mailing AddressPo Box 768Pontiac, IL 61764-0768 · (815) 844-6109
Sole ProprietorNo
Enumeration DateJuly 20, 2021
NPPES CertifiedJuly 20, 2021
NPI 1922671783 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
920 W CUSTER AVE, Pontiac, IL 61764

Other Providers at the Same Location NPPES 20

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

Counselor (Mental Health)
920 W CUSTER AVE
PONTIAC, IL 61764
Counselor (Mental Health)
920 W CUSTER AVE
PONTIAC, IL 61764
Counselor (Addiction (Substance Use Disorder))
920 W CUSTER AVE
PONTIAC, IL 61764
Counselor (Mental Health)
920 W CUSTER AVE
PONTIAC, IL 61764
Counselor (Mental Health)
920 W CUSTER AVE
PONTIAC, IL 61764
Counselor (Mental Health)
920 W CUSTER AVE
PONTIAC, IL 61764
Counselor (Mental Health)
920 W CUSTER AVE
PONTIAC, IL 61764
Speech-Language Pathologist
920 W CUSTER AVE
PONTIAC, IL 61764

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 Jacklyn Ralph's NPI number?

The NPI number for Jacklyn Ralph is 1922671783. It was assigned to this individual provider in the NPPES registry on July 20, 2021.

Where is Jacklyn Ralph located?

Jacklyn Ralph practices at 920 W Custer Ave, Pontiac, IL 61764. The listed phone number is (815) 844-6109.

What is Jacklyn Ralph's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Jacklyn Ralph was last updated on July 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.