Jiselle Roman LCPC PLLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

JISELLE ROMAN LCPC PLLC

Practice address

10720 Princess Ave
Chicago Ridge, IL 60415-2139

Phone

(773) 627-7914

Fax

(708) 575-6527

NPI assigned

May 16, 2022

Organization subpart

No

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

Authorized official

Name

Jiselle Roman, LCPCNPI 1750703583

Title

Licensed Clinical Professional Coun

Phone

(773) 627-7914

Specialties & licenses 4

Addresses

Other identifiers 1

Practitioners 2

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

• Jiselle Roman, LCPC

  • Professional Counselor
  • Chicago Ridge, IL
  • NPI 1750703583
  NPD Authorized official
• Elizabel Arroyo Ayuso, LCPC, LMHC

  • Mental Health Counselor
  • Springfield, IL
  • NPI 1861057572

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1652659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699056000000",
    "number": "1649917345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9631 S CICERO AVE # 1459",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604533137",
            "telephone_number": "773-627-7914",
            "fax_number": "708-575-6527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10720 PRINCESS AVE",
            "city": "CHICAGO RIDGE",
            "state": "IL",
            "postal_code": "604152139",
            "telephone_number": "773-627-7914",
            "fax_number": "708-575-6527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JISELLE ROMAN LCPC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-16",
        "last_updated": "2023-11-04",
        "certification_date": "2023-11-04",
        "status": "A",
        "authorized_official_last_name": "ROMAN",
        "authorized_official_first_name": "JISELLE",
        "authorized_official_title_or_position": "LICENSED CLINICAL PROFESSIONAL COUN",
        "authorized_official_telephone_number": "773-627-7914",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI 1",
            "identifier": "1750703583",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Delores Jean Jackson, COTA
• Denise Jackson, LPTA
• Cherise Janes, LCSW
• Richard M Janiczek, DDS
• Caleigh Noelle Jaskierski, APRN
• Laurel Rae Joss, M.A, ECED
• Julianna M Joy, JULIANNA JOY
• Leo Kammer, O.D.
• Eyad Karzoun, MD
• Amanda Kelsey Jedrzejak, FNP-BC

• Professional Counselor in Chicago Ridge, IL
• Providers in Chicago Ridge, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2023; 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.