Individual provider Active NPI

Jennifer Beardslee, ME.D. ED.S. NCSP

  • Mental Health Counselor
  • Beverly, MA
National Provider Identifier
1235730151
Registry record updated Apr 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
450816 Issued in MA
Practice address
116 Bridge St
Beverly, MA 01915-2851
Phone
(617) 256-4628
NPI assigned
Nov 6, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 450816 MA Primary
Mental Health Counselor 101YM0800X 13103-MH-CC MA

Addresses

Primary practice location

116 Bridge St
Beverly, MA 01915-2851

Mailing address

116 Bridge St
Beverly, MA 01915-2851
Phone (617) 256-4628

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
13103-MH-CCMAMDMental Health Counselor
450816MAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Anchored Therapy LLC Mental Health CurrentSince Nov 8, 2020 Accepting new patients

Organizations & group practices 1

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": "1604620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776988800000",
    "number": "1235730151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 BRIDGE ST",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019152851",
            "telephone_number": "617-256-4628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 BRIDGE ST",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019152851",
            "telephone_number": "617-256-4628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEARDSLEE",
        "first_name": "JENNIFER",
        "name_prefix": "Mrs.",
        "credential": "ME.D. ED.S. NCSP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-06",
        "last_updated": "2026-04-24",
        "certification_date": "2026-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "450816",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "13103-MH-CC",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2026; 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.