Individual provider Active NPI

Jessica Deleault, LCMHC

  • Mental Health Counselor
  • Concord, NH
National Provider Identifier
1033438569
Registry record updated Dec 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
631 Issued in NH
Practice address
8 Centre St
Suite #2
Concord, NH 03301-6302
Phone
(603) 228-7300
NPI assigned
May 24, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 631 NH Primary

Addresses

Primary practice location

8 Centre St
Suite #2
Concord, NH 03301-6302

Mailing address

8 Centre St
Suite #2
Concord, NH 03301-6302
Phone (603) 228-7300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
631NHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Valley Counseling Associates, LLC CurrentSince Oct 13, 2019 Accepting new patients
Capital Valley Counseling Associates, Inc. Past Accepting new patients

Locations

8 Centre St
#2
Concord, NH 03301
Phone (603) 228-7300

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1274659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449446400000",
    "number": "1033438569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 CENTRE ST",
            "address_2": "SUITE #2",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033016302",
            "telephone_number": "603-228-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 CENTRE ST",
            "address_2": "SUITE #2",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033016302",
            "telephone_number": "603-228-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELEAULT",
        "first_name": "JESSICA",
        "credential": "LCMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-24",
        "last_updated": "2015-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NH",
            "license": "631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.