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KENDRA LACOURSE
NPI 1073484622
Counselor - Mental Health in Providence, RI

Active since September 16, 2025PECOS Enrolled
55 HOPE ST, PROVIDENCE, RI 02906(401) 331-1350(401) 277-3385 Get Directions Write a Review

NPPES record last updated: September 16, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kendra Lacourse NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENDRA LACOURSE (NPI 1073484622) is an individual mental health provider in Providence, Rhode Island and active in the NPI registry since September 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1073484622
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKENDRA LACOURSE
Location Address55 HOPE STProvidence, RI 02906-2001
Mailing Address55 Hope StProvidence, RI 02906-2001
Phone(401) 331-1350
Fax(401) 277-3385
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateSeptember 16, 2025
NPPES CertifiedSeptember 16, 2025
✔ NPI 1073484622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
55 HOPE ST, Providence, RI 02906
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kendra Lacourse is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9830675875
PECOS Enrollment IDI20260109001564
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Kendra Lacourse reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Service Of Rhode Island, Inc.
Same address
Adult Mental Health
55 HOPE ST
Providence, RI 02906
  • Reassigned Medicare billing, Rhode Island enrollment
  • 73 clinicians in this Medicare group
NPI 1598833535 (401) 331-1350

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. CAROLANNE GEFFROY LICSW
Social Worker (Clinical)
55 HOPE ST
PROVIDENCE, RI 02906
Providence County (401) 331-1350
KRISTEN DUDLEY LCSW
Social Worker (Clinical)
55 HOPE ST
PROVIDENCE, RI 02906
Providence County (401) 416-0794
MEGHAN BELISLE LCSW
Social Worker (Clinical)
55 HOPE ST
PROVIDENCE, RI 02906
Providence County (401) 331-1350
MILDRED BATES LICSW
Social Worker (Clinical)
55 HOPE ST, FAMILY SERVICE OF RHODE ISLAND
PROVIDENCE, RI 02906
Providence County (401) 331-1350
MRS. MIRIAM MURPHY LCSW
Social Worker
55 HOPE ST
PROVIDENCE, RI 02906
Providence County (401) 331-1350
MRS. NICOLE ORTIZ LCSW
Social Worker (Clinical)
55 HOPE ST
PROVIDENCE, RI 02906
Providence County (401) 331-1350
KRISTEN GARVIN LMHC
Social Worker (Clinical)
55 HOPE ST
PROVIDENCE, RI 02906
Providence County (401) 331-1350
FAMILY SERVICE OF RHODE ISLAND, INC.
Social Worker (Clinical)
55 HOPE ST
PROVIDENCE, RI 02906
Providence County (401) 277-3362

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kendra Lacourse's NPI number?

The NPI number for Kendra Lacourse is 1073484622. It was assigned to this individual provider in the NPPES registry on September 16, 2025.

Where is Kendra Lacourse located?

Kendra Lacourse practices at 55 Hope St, Providence, RI 02906. The listed phone number is (401) 331-1350.

What is Kendra Lacourse's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Kendra Lacourse enrolled in Medicare?

Yes. Kendra Lacourse is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kendra Lacourse's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kendra Lacourse reassigns Medicare benefits to Family Service Of Rhode Island, Inc. (Providence, RI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kendra Lacourse's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kendra Lacourse was last updated on September 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.