Jennifer Illis
Counselor, Professional in Bedminster, New Jersey
1376339861- Practice location
- 82 Wescott RD, Bedminster, NJ 07921-2003
- Phone
- 732-407-9783
- Fax
- —
- Last updated
- May 9, 2025
Jennifer Illis is a Counselor, Professional based in Bedminster, NJ. Jennifer Illis practices in Bedminster, NJ. The NPI Number for Jennifer Illis is 1376339861 and holds a License No. 37PC01035500 (NJ). The current practice location address for Jennifer Illis is 82 Wescott RD, Bedminster, NJ 07921-2003 and can be reached out via phone at 732-407-9783.
Provider Profile Details
- NPI Number
- 1376339861
- Provider Name
- Jennifer Illis
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 82 Wescott RD, Bedminster, NJ 07921-2003
- Phone Number
- 732-407-9783
- Primary Taxonomy
- Counselor, Professional · 101YP2500X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- April 19, 2025
- Last Update Date
- May 9, 2025
- Certification Date
- May 9, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 82 Wescott RD
Bedminster, NJ 07921-2003 - City
- Bedminster
- State
- New Jersey
- Zip
- 07921-2003
- Phone Number
- 732-407-9783
Provider Business Mailing Address Details
- Address
- 82 Wescott RD
Bedminster, NJ 07921-2003 - City
- Bedminster
- State
- NJ
- Zip
- 07921-2003
License Information
- License Number
- 37PC01035500
- License State
- NJ
- Taxonomy
- Counselor, Professional · 101YP2500X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Jennifer Illis?
The NPI number of Jennifer Illis is 1376339861. It was assigned on April 19, 2025 and is currently active in the NPPES registry.
What is the specialty of Jennifer Illis?
Jennifer Illis is registered under the primary taxonomy Counselor, Professional (code 101YP2500X), licensed in NJ under license number 37PC01035500.
Where does Jennifer Illis practice?
The practice location is 82 Wescott RD, Bedminster, NJ 07921-2003. The office can be reached at 732-407-9783 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1376339861 directly on the NPPES registry website.