Active NPIIndividual provider

Ms. Jillian M Belleard, LCPC

Counselor, Professional in Springvale, Maine

NPI Number1912350018
Practice location
460 Main St, Springvale, ME 04083-1874
Fax
—
Last updated
April 9, 2020

Jillian Marie Deruscio Belleard is a Counselor, Professional based in Springvale, ME. Jillian Marie Deruscio Belleard practices in Springvale, ME and has the professional credentials of LCPC. The NPI Number for Jillian Marie Deruscio Belleard is 1912350018 and holds a License No. CC5044 (ME). The current practice location address for Jillian Marie Deruscio Belleard is 460 Main St, Springvale, ME 04083-1874 and can be reached out via phone at 518-368-5465.

Provider Profile Details

NPI Number
1912350018
Provider Name
Jillian Marie Deruscio Belleard
Credential
LCPC
Provider Entity Type
Individual
Gender
Female
Address
460 Main St, Springvale, ME 04083-1874
Phone Number
518-368-5465
Primary Taxonomy
Counselor, Professional · 101YP2500X
Sole Proprietor
No
Provider Enumeration Date
July 13, 2016
Last Update Date
April 9, 2020
Certification Date
April 9, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
460 Main St
Springvale, ME 04083-1874
State
Maine
Zip
04083-1874
Phone Number
518-368-5465
Springvale, ME 04083Get directions →

Provider Business Mailing Address Details

Address
460 Main St Ste 2
Springvale, ME 04083-1874
City
Springvale
State
ME
Zip
04083-1874
Phone Number
207-502-5896

License Information

License Number
CC5044
License State
ME
Taxonomy
Counselor, Professional · 101YP2500X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Ms. Jillian M Belleard, LCPC?

The NPI number of Ms. Jillian M Belleard, LCPC is 1912350018. It was assigned on July 13, 2016 and is currently active in the NPPES registry.

What is the specialty of Ms. Jillian M Belleard, LCPC?

Ms. Jillian M Belleard, LCPC is registered under the primary taxonomy Counselor, Professional (code 101YP2500X), licensed in ME under license number CC5044.

Where does Ms. Jillian M Belleard, LCPC practice?

The practice location is 460 Main St, Springvale, ME 04083-1874. The office can be reached at 518-368-5465 (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 1912350018 directly on the NPPES registry website.

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