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

Jiselle Roman LCPC PLLC

Organization Professional Counselor · NPI 1649917345

Jiselle Roman LCPC PLLC is a Professional Counselor in Chicago Ridge, Illinois. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
4
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10720 Princess Ave
Chicago Ridge, IL 60415-2139
Phone: (773) 627-7914
Fax: (708) 575-6527
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X
Community/Behavioral Health Agency Taxonomy 251S00000X
Adult Mental Health Clinic/Center Taxonomy 261QM0850X
Adolescent and Children Mental Health Clinic/Center Taxonomy 261QM0855X

Record details

NPI number1649917345
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jiselle Roman — Licensed Clinical Professional Coun · (773) 627-7914
NPI enumeratedMay 16, 2022
Last updated in NPPESNovember 4, 2023
Certification dateNovember 4, 2023
Mailing address9631 S Cicero Ave # 1459, Oak Lawn, IL 60453-3137

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