Individual provider Active NPI

Lynn A. Leblanc-Marrone, M.A., LMHC

  • Addiction (Substance Use Disorder) Counselor
  • Worcester, MA
National Provider Identifier
1194835595
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
#564 Issued in MA
Practice address
72 Jaques Ave
Worcester, MA 01610-2476
Phone
(508) 860-1232
NPI assigned
Aug 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X #564 MA Primary
Mental Health Counselor 101YM0800X #3030 MA

Addresses

Primary practice location

72 Jaques Ave
Worcester, MA 01610-2476

Mailing address

PO Box 413
Holden, MA 01520-0413
Phone (508) 829-6670

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240311003373 MA Practitioner - Mental Health Counselor 8426494568 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
#564MAMDAddiction (Substance Use Disorder) Counselor
#3030MAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Spectrum Health Systems, Inc CurrentSince Jan 14, 2024 Accepting new patients
Spectrum Health Systems Inc CurrentSince Jan 14, 2024 Accepting new patients

Locations

149 Oak St
Westborough, MA 01581

10 Mechanic St
Ste 302
Worcester, MA 01608
Phone (508) 792-5400

585 Lincoln St
Worcester, MA 01605
Phone (508) 831-0045

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1194835595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 413",
            "city": "HOLDEN",
            "state": "MA",
            "postal_code": "015200413",
            "telephone_number": "508-829-6670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 JAQUES AVE",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016102476",
            "telephone_number": "508-860-1232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEBLANC-MARRONE",
        "first_name": "LYNN",
        "middle_name": "A.",
        "name_prefix": "Ms.",
        "credential": "M.A., LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MA",
            "license": "#564",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "#3030",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

Verify at the official NPI Registry.