Individual provider Active NPI

Jeralyn Dalbeck, LMHC

  • Counselor
  • Westborough, MA
National Provider Identifier
1508375957
Registry record updated Feb 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
12262 Issued in MA
Practice address
287 Turnpike Rd Ste 125
Westborough, MA 01581-2847
Phone
(888) 690-6225
NPI assigned
Sep 28, 2017
Reactivated
Apr 28, 2021
Last updated
Feb 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 12262 MA Primary

Addresses

Primary practice location

287 Turnpike Rd Ste 125
Westborough, MA 01581-2847

Mailing address

1500 Newbury Dr Apt 1523
Holden, MA 01520-1573
Phone (508) 479-2605

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
12262MAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Arbour Counseling Services Past 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1506556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1508375957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 NEWBURY DR APT 1523",
            "city": "HOLDEN",
            "state": "MA",
            "postal_code": "015201573",
            "telephone_number": "508-479-2605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "287 TURNPIKE RD STE 125",
            "city": "WESTBOROUGH",
            "state": "MA",
            "postal_code": "015812847",
            "telephone_number": "888-690-6225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALBECK",
        "first_name": "JERALYN",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-28",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "deactivation_date": "2020-05-31",
        "reactivation_date": "2021-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MA",
            "license": "12262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westborough, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; 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.