STACEY LECLERC BS, LCDP
NPI 1346709029
Counselor - Mental Health in Providence, RI
About Stacey Leclerc Bs, Lcdp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STACEY LECLERC BS, LCDP (NPI 1346709029) is an individual mental health provider in Providence, Rhode Island, licensed in Rhode Island (MHC01402) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Stacey Leclerc Bs, Lcdp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Stacey Leclerc reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Johnston, RI 02919
- Reassigned Medicare billing, Rhode Island enrollment
- 6 clinicians in this Medicare group
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.
PROVIDENCE, RI 02904
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 Stacey Leclerc's NPI number?
The NPI number for Stacey Leclerc is 1346709029. It was assigned to this individual provider in the NPPES registry on March 13, 2019.
Where is Stacey Leclerc located?
Stacey Leclerc practices at 528 N Main St, Providence, RI 02904. The listed phone number is (401) 276-4020.
What is Stacey Leclerc's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Stacey Leclerc enrolled in Medicare?
Yes. Stacey Leclerc is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Stacey Leclerc's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stacey Leclerc reassigns Medicare benefits to A Pediatric Evolution, LLC. (Johnston, 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 Stacey Leclerc'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 Stacey Leclerc was last updated on September 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.
# Stacey Leclerc, BS, LCDP · NPI 1346709029
Mental Health provider in Providence, Rhode Island. Individual provider, active in the CMS NPPES registry since March 13, 2019.
## Identity
- **NPI:** 1346709029 (Entity type: Individual)
- **Enumerated:** March 13, 2019
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** MHC01402 (Rhode Island)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 528 N MAIN ST, Providence, RI 02904-5757
- **Phone:** (401) 276-4020
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** A Pediatric Evolution, LLC. (NPI 1770244774, Johnston, RI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 20, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1346709029) · Data from the CMS NPPES public registry.