Jennifer Carlysle, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1524 Walnut Dr
Chester, VA 23836-6144

Phone

(540) 216-1793

NPI assigned

Jun 21, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Beth Psychiatry LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Frankfort, IL
  • NPI 1063193829
  NPD (past)

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

{
    "created_epoch": "1750464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750809600000",
    "number": "1932096005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1524 WALNUT DR",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238366144",
            "telephone_number": "540-216-1793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1524 WALNUT DR",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238366144",
            "telephone_number": "540-216-1793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLYSLE",
        "first_name": "JENNIFER",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-21",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Elizabeth Harris Caravas, PA-C
• Cardiac Health Management Network, P.C.
• Kevin Carl Carey
• Samantha Carey, RN
• Caring Hands Community Services
• Carroll'S Transportation LLC
• Gabriel Castillo, BCBA
• Steven A Castro, D.D.S
• Carol Sue Cdebaca, PA-C
• Center of Joy Psychological Services, PLLC

• All providers in Chester, VA
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2025; 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.