DR. JILL RAQUEL LEBLOND PSYD, LP
NPI 1164433165
Psychologist in Saint Paul, MN

Active since August 11, 2006Opted out of Medicare · through Apr 27, 2027
1053 GRAND AVE, SUITE 116, SAINT PAUL, MN 55105(651) 287-0931(651) 287-0967 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Jill Raquel Leblond Psyd, Lp NPPES

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

DR. JILL RAQUEL LEBLOND PSYD, LP (NPI 1164433165) is an individual psychologist in Saint Paul, Minnesota, licensed in Minnesota (MN 4364) and active in the NPI registry since August 2006. She has opted out of Medicare through April 27, 2027.

NPPES Registry Identity

NPI1164433165
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. JILL RAQUEL LEBLONDCredential: PSYD, LP
Location Address1053 GRAND AVE, SUITE 116Saint Paul, MN 55105-3022
Mailing Address1053 Grand Ave, Suite 116Saint Paul, MN 55105-3022 · (651) 287-0931 · Fax (651) 287-0967
Fax(651) 287-0967
Sole ProprietorYes
Enumeration DateAugust 11, 2006
Last NPPES UpdateSeptember 11, 2025
NPI 1164433165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in MN · MN 4364
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License MN 4364 (MN)
1053 GRAND AVE, Saint Paul, MN 55105

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Jill Raquel Leblond Psyd, Lp has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 27, 2021 through April 27, 2027.

Opt-Out Effective DateApril 27, 2021
Opt-Out In Effect ThroughApril 27, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 9

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

Chiropractor
1053 GRAND AVE, SUITE 114
SAINT PAUL, MN 55105
Chiropractor (Sports Physician)
1053 GRAND AVE, SUITE 114
SAINT PAUL, MN 55105
Clinic/Center
1053 GRAND AVE, SUITE #114
SAINT PAUL, MN 55105
Chiropractor
1053 GRAND AVE, #114
SAINT PAUL, MN 55105
Health Maintenance Organization
1053 GRAND AVE, 114
SAINT PAUL, MN 55105
Social Worker (Clinical)
1053 GRAND AVE, SUITE 110
SAINT PAUL, MN 55105
Clinic/Center (Mental Health (Including Community Mental Health Center))
1053 GRAND AVE, SUITE 116
SAINT PAUL, MN 55105
Massage Therapist
1053 GRAND AVE, SUITE 109
SAINT PAUL, MN 55105

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 Jill Leblond's NPI number?

The NPI number for Jill Leblond is 1164433165. It was assigned to this individual provider in the NPPES registry on August 11, 2006.

Where is Jill Leblond located?

Jill Leblond practices at 1053 Grand Ave Suite 116, Saint Paul, MN 55105. The listed phone number is (651) 287-0931.

What is Jill Leblond's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Jill Leblond enrolled in Medicare?

No. Jill Leblond has opted out of Medicare through April 27, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Jill Leblond was last updated on September 11, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.