Carlisle Art Therapy PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

CARLISLE ART THERAPY PLLC

Practice address

1918 N Mendell St Ste 200
Chicago, IL 60642-1282

Phone

(815) 545-1530

NPI assigned

Apr 18, 2025

Organization subpart

No

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

Authorized official

Name

Jessica Carlisle, LCPC, ATR-BCNPI 1902495435

Title

Owner, Art Therapist, Counselor

Phone

(815) 545-1530

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jessica Carlisle, LCPC, ATR-BC

  • Professional Counselor
  • Chicago, IL
  • NPI 1902495435
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1744934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744934400000",
    "number": "1164218715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2043 W BELMONT AVE APT 4",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606186796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1918 N MENDELL ST STE 200",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606421282",
            "telephone_number": "815-545-1530"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2043 W Belmont Ave Apt 4",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606186796",
            "country_code": "US",
            "telephone_number": "815-545-1530",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CARLISLE ART THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-18",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-10",
        "status": "A",
        "authorized_official_last_name": "CARLISLE",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER, ART THERAPIST, COUNSELOR",
        "authorized_official_telephone_number": "815-545-1530",
        "authorized_official_credential": "LCPC, ATR-BC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Carlevato, DPT
• Domenico Carli
• Carlile Speech Therapy PLLC
• Alma M Carlin, APN
• Katie Carlin, DC
• Jessica Carlisle, LCPC, ATR-BC
• Meghan Carlisle, PT, DPT
• Rashionda Carlisle
• Timothy Clifford Carll, MD
• Amanda Carlo, NP

• Mental Health Counselor in Chicago, IL
• Providers in Chicago, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.