| CASE NUMBER | I-200-25002-587384 |
| CASE STATUS | Certified |
| RECEIVED DATE | 1/2/2025 |
| DECISION DATE | 1/10/2025 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Behavioral Health Clinician |
| SOC CODE | 21-1014.00 |
| SOC TITLE | Mental Health Counselors |
| FULL TIME POSITION | Y |
| BEGIN DATE | 7/1/2025 |
| END DATE | 6/30/2028 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| EMPLOYER NAME | Northeast Behavioral Health Corporation d/b/a Beth Israel Lahey Health Behavioral Services |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 199 Rosewood Drive |
| EMPLOYER ADDRESS2 | N/A |
| EMPLOYER CITY | Danvers |
| EMPLOYER STATE | MA |
| EMPLOYER POSTAL CODE | 1923 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 17748227560 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 621399 |
| EMPLOYER POC LAST NAME | Cullen |
| EMPLOYER POC FIRST NAME | Jennifer |
| EMPLOYER POC MIDDLE NAME | N/A |
| EMPLOYER POC JOB TITLE | President BILH BS |
| EMPLOYER POC ADDRESS1 | 199 Rosewood Drive |
| EMPLOYER POC ADDRESS2 | N/A |
| EMPLOYER POC CITY | Danvers |
| EMPLOYER POC STATE | MA |
| EMPLOYER POC POSTAL CODE | 1923 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 17748227560 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | jennifer.cullen@bilh.org |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Batista |
| AGENT ATTORNEY FIRST NAME | Mia |
| AGENT ATTORNEY MIDDLE NAME | N/A |
| AGENT ATTORNEY ADDRESS1 | 620 Eighth Avenue |
| AGENT ATTORNEY ADDRESS2 | Floor 32 |
| AGENT ATTORNEY CITY | New York |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 10018 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 12122184659 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | mbatista@seyfarth.com |
| LAWFIRM NAME BUSINESS NAME | Seyfarth Shaw LLP |
| STATE OF HIGHEST COURT | MA |
| NAME OF HIGHEST STATE COURT | Supreme Judicial Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 12 Methuen Street |
| WORKSITE ADDRESS2 | N/A |
| WORKSITE CITY | Lawrence |
| WORKSITE COUNTY | ESSEX |
| WORKSITE STATE | MA |
| WORKSITE POSTAL CODE | 1840 |
| WAGE RATE OF PAY FROM | $51,750.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | $72,758.00 |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $51,750.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2024 - 6/30/2025 |
| PW OTHER SOURCE | |
| PW OTHER YEAR | |
| PW SURVEY PUBLISHER | |
| PW SURVEY NAME | |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | Yes |
| H 1B DEPENDENT | No |
| WILLFUL VIOLATOR | No |
| SUPPORT H1B | N/A |
| STATUTORY BASIS | |
| APPENDIX A ATTACHED | N/A |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Bassler |
| PREPARER FIRST NAME | Alexa |
| PREPARER MIDDLE INITIAL | N/A |
| PREPARER BUSINESS NAME | Seyfarth Shaw LLP |
| PREPARER EMAIL | abassler@seyfarth.com |
| BEGIN DATE CONVERTED | 2025-07-01 |
