Healthcare Provider Details

I. General information

NPI: 1801587423
Provider Name (Legal Business Name): JENNIFER BELINSKI LMHC, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/16/2023
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 MIDSTATE DR STE 202
AUBURN MA
01501-1866
US

IV. Provider business mailing address

7 MIDSTATE DR STE 202
AUBURN MA
01501-1866
US

V. Phone/Fax

Practice location:
  • Phone: 774-203-4004
  • Fax:
Mailing address:
  • Phone: 774-203-4004
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number9108
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: