Active NPI
Jill Lynette Allen, PSY.D.
- Clinical Psychologist
- Crystal Lake, IL
National Provider Identifier
1649572322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 071-005431
- Practice address
- 900 Pyott Rd
102
Crystal Lake, IL 60014-8716 - Phone
- (815) 444-9076
- NPI assigned
- Dec 1, 2010
- Last updated
- Dec 1, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 071-005431 | IL | Primary |
Addresses
Primary practice location
900 Pyott Rd
102
Crystal Lake, IL 60014-8716
Mailing address
1497 Shire Cir
Inverness, IL 60067-4772
Phone (815) 444-9076
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071-005431 | IL | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Art of Living Counseling Center, Inc. | Past | Accepting new patients | |
| Steven Mesmer & Associates, LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Counselor
- Crystal Lake, IL
- NPI 1851178719
-
- Professional Counselor
- Crystal Lake, IL
- NPI 1235253824
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291161600000",
"number": "1649572322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1497 SHIRE CIR",
"city": "INVERNESS",
"state": "IL",
"postal_code": "600674772",
"telephone_number": "815-444-9076"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 PYOTT RD",
"address_2": "102",
"city": "CRYSTAL LAKE",
"state": "IL",
"postal_code": "600148716",
"telephone_number": "815-444-9076"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEN",
"first_name": "JILL",
"middle_name": "LYNETTE",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-12-01",
"last_updated": "2010-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "071-005431",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Crystal Lake, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.