Able Oak Mental Health, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

ABLE OAK MENTAL HEALTH, LLC

Practice address

469 Main St Ste 201
Springvale, ME 04083-1870

Phone

(207) 850-1082

Fax

(888) 681-5805

NPI assigned

Nov 28, 2023

Organization subpart

No

Name

Mrs. Jillian Marie Deruscio Belleard, LCPCNPI 1912350018

Title

Owner

Phone

(518) 368-5455

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jillian Marie Deruscio Belleard, LCPC

  • Professional Counselor
  • Springvale, ME
  • NPI 1912350018
  Medicare reassignment NPD Authorized official ME

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 28, 2023.

{
    "created_epoch": "1701129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701129600000",
    "number": "1083480487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 HOWARD ST",
            "city": "SPRINGVALE",
            "state": "ME",
            "postal_code": "040831919",
            "telephone_number": "518-368-5455",
            "fax_number": "888-681-5805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "469 MAIN ST STE 201",
            "city": "SPRINGVALE",
            "state": "ME",
            "postal_code": "040831870",
            "telephone_number": "207-850-1082",
            "fax_number": "888-681-5805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABLE OAK MENTAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-28",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A",
        "authorized_official_last_name": "BELLEARD",
        "authorized_official_first_name": "JILLIAN",
        "authorized_official_middle_name": "MARIE DERUSCIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-368-5455",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 21 Oak Street Residential Care Facility
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• Jason Alme, RDN
• Anchor Senior Care Residence
• Anchor Senior Care, LLC
• Nicholas M. Angers, LCPC

• All providers in Springvale, ME
• Community/Behavioral Health Agency in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.