STACEY LECLERC BS, LCDP
NPI 1346709029
Counselor - Mental Health in Providence, RI

Active since March 13, 2019PECOS Enrolled
528 N MAIN ST, PROVIDENCE, RI 02904(401) 276-4020 Get Directions Write a Review

NPPES record last updated: September 20, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 20, 2022, Mar 13, 2019 (2 updates tracked since 2019).

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

NPI1346709029
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSTACEY LECLERCCredential: BS, LCDP
Location Address528 N MAIN STProvidence, RI 02904-5757
Mailing Address528 N Main St Unit 4Providence, RI 02904-5770
Sole ProprietorYes
Enumeration DateMarch 13, 2019
Last NPPES UpdateSeptember 20, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 20, 2022
NPI 1346709029 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in RI · MHC01402
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License CDP00784 (RI)
528 N MAIN ST, Providence, RI 02904

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Stacey Leclerc Bs, Lcdp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

Counselor
528 N MAIN ST
PROVIDENCE, RI 02904
Nurse Practitioner (Psychiatric/Mental Health)
528 N MAIN ST
PROVIDENCE, RI 02904
Registered Nurse
528 N MAIN ST
PROVIDENCE, RI 02904
Social Worker
528 N MAIN ST
PROVIDENCE, RI 02904
Counselor (Mental Health)
528 N MAIN ST
PROVIDENCE, RI 02904
Social Worker
528 N MAIN ST
PROVIDENCE, RI 02904
Surgery
528 N MAIN ST, SUITE 3
PROVIDENCE, RI 02904
Registered Nurse
528 N MAIN ST
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.

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 3 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.