Jiselle Roman, LCPC - Counselor in Chicago Ridge, IL

Jiselle Roman, LCPC is a Counselor - Professional based in Chicago Ridge, Illinois. Jiselle Roman is licensed to practice in Illinois (license number 180.009936) and her current practice location is 10720 Princess Ave, Chicago Ridge, Illinois. She can be reached at her office (for appointments etc.) via phone at (773) 627-7914.

NPI number for Jiselle Roman is 1750703583 and her current mailing address is 9631 S Cicero Ave # 1459, Oak Lawn, Illinois. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1750703583.

Contact Information

Jiselle Roman, LCPC
10720 Princess Ave,
Chicago Ridge, IL 60415-2139
(773) 627-7914
(708) 575-6527

Map and Direction


Healthcare Provider's Profile

Full NameJiselle Roman
GenderFemale
SpecialityCounselor - Professional
Location10720 Princess Ave, Chicago Ridge, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1750703583
  • Provider Enumeration Date: 01/14/2014
  • Last Update Date: 03/31/2023

Medical Identifiers

Medical identifiers for Jiselle Roman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1750703583NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YP2500XCounselor - Professional 178.007483 (Illinois)Secondary
101YS0200XCounselor - School 2388551 (Illinois)Secondary
101YP2500XCounselor - Professional 180.009936 (Illinois)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jiselle Roman is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jiselle Roman, LCPC
9631 S Cicero Ave # 1459,
Oak Lawn, IL 60453-3137

Ph: (773) 627-7914
Jiselle Roman, LCPC
10720 Princess Ave,
Chicago Ridge, IL 60415-2139

Ph: (773) 627-7914

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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