Active NPI
Joshua Lee Jacob Denney-Carlisle
- Counselor
- Savoy, IL
National Provider Identifier
1972494326
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- 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, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Toria Tate Inc | Current | 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.