Organization Active NPI

Jennifer Tinsley Pmhnp-BC, PLLC

Doing business as Life Story Behavioral Health

  • Community/Behavioral Health Agency
  • Dieterich, IL
National Provider Identifier
1790602225
Registry record updated Oct 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
JENNIFER TINSLEY PMHNP-BC, PLLC
Doing business as
Life Story Behavioral Health
Practice address
203 S Main St
Dieterich, IL 62424-1128
Phone
(618) 629-7565
Fax
(618) 822-4154
NPI assigned
Jul 6, 2026
Last updated
Oct 2, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2026

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

Authorized official

Name
Jennifer J Tinsley, MSN, PMHNP-BC, APRNNPI 1982134557
Title
Owner/Provider
Phone
(618) 335-8740

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

203 S Main St
Dieterich, IL 62424-1128

Mailing address

261 Levi Rd
Louisville, IL 62858-2784
Phone (618) 335-8740

Other names 1

  • LIFE STORY BEHAVIORAL HEALTH Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1783296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790899200000",
    "number": "1790602225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 LEVI RD",
            "city": "LOUISVILLE",
            "state": "IL",
            "postal_code": "628582784",
            "telephone_number": "618-335-8740",
            "fax_number": "618-822-4154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 S MAIN ST",
            "city": "DIETERICH",
            "state": "IL",
            "postal_code": "624241128",
            "telephone_number": "618-629-7565",
            "fax_number": "618-822-4154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER TINSLEY PMHNP-BC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-06",
        "last_updated": "2026-10-02",
        "certification_date": "2026-10-02",
        "status": "A",
        "authorized_official_last_name": "TINSLEY",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "618-335-8740",
        "authorized_official_credential": "MSN, PMHNP-BC, APRN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LIFE STORY BEHAVIORAL HEALTH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dieterich, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2026; 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.