Jiselle Roman, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180.009936 Issued in IL

Practice address

10720 Princess Ave
Chicago Ridge, IL 60415-2139

Phone

(773) 627-7914

Fax

(708) 575-6527

NPI assigned

Jan 14, 2014

Last updated

Mar 31, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Inara Counseling & Consulting PLLC

  • Professional Counselor
  • Chicago Ridge, IL
  • NPI 1912770363
  NPD Authorized official
• Jiselle Roman LCPC PLLC

  • Professional Counselor
  • Chicago Ridge, IL
  • NPI 1649917345
  NPD Authorized official
• Joanli Counseling and Consulting PLLC

  • Clinical Social Worker
  • Westchester, IL
  • NPI 1831836576
  NPD (past)

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

{
    "created_epoch": "1389657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680220800000",
    "number": "1750703583",
    "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": {
        "last_name": "ROMAN",
        "first_name": "JISELLE",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-14",
        "last_updated": "2023-03-31",
        "certification_date": "2023-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178.007483",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.009936",
            "primary": true
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "IL",
            "license": "2388551",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Shaina A Rozell, MD
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• Mohammed Z Sahloul, M.D.

• 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 Mar 31, 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.