Individual provider Active NPI

Jennifer Jean Lynch, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Joliet, IL
National Provider Identifier
1043073455
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
277005999 Issued in IL
Practice address
54 N Ottawa St
Joliet, IL 60432-4345
Phone
(815) 396-8617
Fax
(815) 201-8752
NPI assigned
Jan 31, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 277005999 IL Primary

Addresses

Primary practice location

54 N Ottawa St
Joliet, IL 60432-4345

Mailing address

54 N Ottawa St
Joliet, IL 60432-4345
Phone (815) 396-8617

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240610001281 IL Practitioner - Nurse Practitioner 6800171927 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

555 S Perryville Rd
Suite 130
Rockford, IL 61108-2527
Phone (815) 396-8617

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2023206587ILMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mindplexity Psychiatric Services, PLLC Psychiatric/Mental Health CurrentSince Jun 29, 2025 Accepting new patients
Positive Pathways Psychiatry PLLC Psychiatric/Mental Health CurrentSince Aug 1, 2025 Accepting new patients
Inspire Counseling Center, LLC CurrentSince May 1, 2024 Accepting new patients

Locations

911 Church St
Evanston, IL 60201

400 Green Bay Rd
Kenilworth, IL 60043
Phone (847) 772-1534

1 Westminster Pl
Ste 101
Lake Forest, IL 60045
Phone (847) 919-9096

3100 Dundee Rd
Ste 101
Northbrook, IL 60062
Phone (847) 313-9490

555 S Perryville Rd
Ste 130
Rockford, IL 61108
Phone (815) 396-8617

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1706659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1043073455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 N OTTAWA ST",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604324345",
            "telephone_number": "815-396-8617",
            "fax_number": "815-201-8752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 N OTTAWA ST",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604324345",
            "telephone_number": "815-396-8617",
            "fax_number": "815-201-8752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNCH",
        "first_name": "JENNIFER",
        "middle_name": "JEAN",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-31",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "277005999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joliet, IL

Sources for this page

Verify at the official NPI Registry.