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

Jennifer Illis

Individual provider Professional Counselor · NPI 1376339861

Jennifer Illis is a Professional Counselor in Bedminster, New Jersey. Practices as a sole proprietor. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2025

Practice location Address checks out

82 Wescott Rd
Bedminster, NJ 07921-2003
Phone: (732) 407-9783
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 37PC01035500 (NJ)

Record details

NPI number1376339861
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 19, 2025
Last updated in NPPESMay 9, 2025
Certification dateMay 9, 2025
Mailing address82 Wescott Rd, Bedminster, NJ 07921-2003

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