Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jacquelyn E Augustine PSYD PC

Organization Mental Health Counselor · NPI 1083366470

Jacquelyn E Augustine PSYD PC is a Mental Health Counselor in New Lenox, Illinois. Works from 2 locations. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1938 E Lincoln Hwy
New Lenox, IL 60451-3810
Phone: (708) 214-2448
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 11784 Golden Gate Dr, Mokena, IL 60448-2033 — (708) 214-2448

Specialties & licences

Mental Health Clinic/Center (Including Community Mental Health Center) (primary) Taxonomy 261QM0801X
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1083366470
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jacquelyn Augustine — President · (708) 214-2448
NPI enumeratedJanuary 26, 2022
Last updated in NPPESFebruary 22, 2022
Certification dateFebruary 22, 2022
Mailing address11784 Golden Gate Dr, Mokena, IL 60448-2033

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