Individual provider Active NPI

Joshua Lee Jacob Denney-Carlisle

  • Counselor
  • Savoy, IL
National Provider Identifier
1972494326
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
411 N Clarendon CT Ste 102
Savoy, IL 61874-6053
Phone
(217) 607-1839
NPI assigned
Jul 14, 2025
Last updated
Jul 14, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X IL Primary

Addresses

Primary practice location

411 N Clarendon CT Ste 102
Savoy, IL 61874-6053

Mailing address

411 N Clarendon CT Ste 102
Savoy, IL 61874-6053
Phone (217) 607-1839

Other names 1

  • Jake Carlisle Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Toria Tate Inc CurrentSince Jul 22, 2025 Accepting new patients

Locations

411 N Clarendon Ct
Ste 102
Savoy, IL 61874
Phone (217) 607-1839

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1752451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752451200000",
    "number": "1972494326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 N CLARENDON CT STE 102",
            "city": "SAVOY",
            "state": "IL",
            "postal_code": "618746053",
            "telephone_number": "217-607-1839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 N CLARENDON CT STE 102",
            "city": "SAVOY",
            "state": "IL",
            "postal_code": "618746053",
            "telephone_number": "217-607-1839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENNEY-CARLISLE",
        "first_name": "JOSHUA",
        "middle_name": "LEE JACOB",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-07-14",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAKE",
            "last_name": "CARLISLE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Savoy, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.