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

Jorge Roman

Individual provider Mental Health Counselor · NPI 1003343096

Jorge Roman is a Mental Health Counselor in Crystal Lake, Illinois. Practices as a sole proprietor and works from 2 locations. Licensed in Illinois.

Licensed in
IL
In the registry since
2017
Specialties on file
2

Practice location Address checks out

650 Dakota St Ste A
Crystal Lake, IL 60012-3744
Phone: (815) 334-5018
Fax: (815) 356-1104
Show map & directions

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

Additional practice locations (1)

  • 70 S River St, Aurora, IL 60506-5185 — (630) 844-2662

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 149023741 (IL)
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1003343096
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 22, 2017
Last updated in NPPESApril 12, 2022
Certification dateApril 12, 2022
Mailing address650 Dakota St Ste A, Crystal Lake, IL 60012-3744

Other providers in Crystal Lake