Jessica Carlisle, LCPC, ATR-BC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180.016034 Issued in IL

Practice address

1628 W Montrose Ave
Chicago, IL 60613-1214

Phone

(773) 654-1865

NPI assigned

Jan 11, 2021

Last updated

Apr 10, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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.

• Carlisle Art Therapy PLLC

  • Mental Health Counselor
  • Chicago, IL
  • NPI 1164218715
  Medicare reassignment NPD Authorized official
• Dandelion Therapeutic Art Center

  dba Dandelion Art Studio

  • Mental Health Counselor
  • Chicago, IL
  • NPI 1992342422
  NPD

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

{
    "created_epoch": "1610323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744243200000",
    "number": "1902495435",
    "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",
            "telephone_number": "815-545-1530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1628 W MONTROSE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606131214",
            "telephone_number": "773-654-1865"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2630 W Fletcher St # 1",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606187110",
            "country_code": "US",
            "telephone_number": "847-651-8643",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARLISLE",
        "first_name": "JESSICA",
        "credential": "LCPC, ATR-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-11",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178.015285",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.016034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Domenico Carli
• Carlile Speech Therapy PLLC
• Alma M Carlin, APN
• Katie Carlin, DC
• Carlisle Art Therapy PLLC
• Meghan Carlisle, PT, DPT
• Rashionda Carlisle
• Timothy Clifford Carll, MD
• Amanda Carlo, NP
• Andrew David Carlo, MD, MPH

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.