Individual provider · Type 1 NPI

Jessica Carlisle, LCPC, ATR-BC

Professional Counselor · Chicago, IL

NPI number 1902495435 Active

Practice location

1628 W Montrose Ave
Chicago, IL 60613-1214

Call (773) 654-1865 Map

Mailing address

2043 W Belmont Ave Apt 4
Chicago, IL 60618-6796

Other practice locations

  • 2630 W Fletcher St # 1, Chicago, IL 60618-7110 · (847) 651-8643

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500X178.015285 (IL)
Professional Counselor Primary 101YP2500X180.016034 (IL)

Professional Counselor: Definition to come...

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About NPI 1902495435

Jessica Carlisle, LCPC, ATR-BC's National Provider Identifier is 1902495435, issued on Jan 11, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Chicago, IL. The record was last updated on Apr 10, 2025.