Jill Raquel Leblond, PSYD, LP

Primary specialty

PsychologistTaxonomy code 103T00000X

License

MN 4364 Issued in MN

Practice address

1053 Grand Ave
Suite 116
Saint Paul, MN 55105-3022

Phone

(651) 287-0931

Fax

(651) 287-0967

NPI assigned

Aug 11, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Apr 27, 2021 through Apr 27, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pathways Psychology on Grand, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Saint Paul, MN
  • NPI 1649281676
  NPD (past) Authorized official
• River City Mental Health Clinic, P.a.

  • Clinical Psychologist
  • Saint Paul, MN
  • NPI 1558348078
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1164433165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1053 GRAND AVE",
            "address_2": "SUITE 116",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551053022",
            "telephone_number": "651-287-0931",
            "fax_number": "651-287-0967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1053 GRAND AVE",
            "address_2": "SUITE 116",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551053022",
            "telephone_number": "651-287-0931",
            "fax_number": "651-287-0967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEBLOND",
        "first_name": "JILL",
        "middle_name": "RAQUEL",
        "name_prefix": "Dr.",
        "credential": "PSYD, LP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-11",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "MN 4364",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "MN 4364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leatrice Mankin Sherer, PH.D., P.L.L.C.
• Jeremy Derrell Leavell, DNP APRN CRNA
• Kyley M Lebens, DDS
• Luke Leblanc, M.D.
• Nicole Elise Leblanc, MS
• Chloe Alexandra Lebron, CNP
• Katherine Leclair, DDS
• Amber Elizabeth Leclaire, DDS
• Jennifer Anne Leclaire, OTR/L
• Kim M Ledermann, D.D.S.

• Psychologist in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.