Provider Demographics
NPI:1881053999
Name:LELINHO, JESSICA (LPC, LCADC)
Entity type:Individual
Prefix:MRS
First Name:JESSICA
Middle Name:
Last Name:LELINHO
Suffix:
Gender:
Credentials:LPC, LCADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 RIVERVIEW DR STE 105
Mailing Address - Street 2:
Mailing Address - City:BRIELLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08730-1749
Mailing Address - Country:US
Mailing Address - Phone:732-223-0525
Mailing Address - Fax:732-703-6956
Practice Address - Street 1:800 RIVERVIEW DR STE 105
Practice Address - Street 2:
Practice Address - City:BRIELLE
Practice Address - State:NJ
Practice Address - Zip Code:08730-1749
Practice Address - Country:US
Practice Address - Phone:732-223-0525
Practice Address - Fax:732-703-6956
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-17
Last Update Date:2025-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00735800101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJO356935Medicaid
NJO419095Medicaid