Individual provider Active NPI

Lindsey Jillie, LEP

  • Psychologist
  • Citrus Heights, CA
National Provider Identifier
1043100746
Registry record updated Jul 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
4693 Issued in CA
Practice address
8312 Twin Oaks Ave
Citrus Heights, CA 95610-0613
Phone
(916) 806-9730
NPI assigned
Jul 7, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 4693 CA Primary

Addresses

Primary practice location

8312 Twin Oaks Ave
Citrus Heights, CA 95610-0613

Mailing address

1079 Sunrise Ave Ste B-341
Roseville, CA 95661-7009

Other practice location 1

1079 Sunrise Ave Ste B-341
Roseville, CA 95661-7009
Phone (916) 259-3774

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
4693CAMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1751846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751846400000",
    "number": "1043100746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1079 SUNRISE AVE STE B-341",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956617009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8312 TWIN OAKS AVE",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "956100613",
            "telephone_number": "916-806-9730"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1079 Sunrise Ave Ste B-341",
            "address_purpose": "LOCATION",
            "city": "Roseville",
            "state": "CA",
            "postal_code": "956617009",
            "country_code": "US",
            "telephone_number": "916-259-3774",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JILLIE",
        "first_name": "LINDSEY",
        "credential": "LEP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-07",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "4693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Citrus Heights, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.