Individual provider Active NPI

Marissa Jeanne Lecount

  • Peer Specialist
  • Santa Rosa, CA
National Provider Identifier
1376394460
Registry record updated Dec 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
Practice address
2455 Bennett Valley Rd Ste B209
Santa Rosa, CA 95404-5669
Phone
(707) 224-8266
NPI assigned
Mar 28, 2024
Last updated
Dec 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Day Training/Habilitation Specialist 373H00000X
Community Health Worker 172V00000X
Peer Specialist 175T00000X Primary

Addresses

Primary practice location

2455 Bennett Valley Rd Ste B209
Santa Rosa, CA 95404-5669

Mailing address

PO Box 351
Monte Rio, CA 95462-0351
Phone (650) 208-4203

Other practice location 1

2310 1st St
Napa, CA 94559-2239
Phone (707) 224-8266

Other practice location 2

4820 Business Center Dr Ste 210
Fairfield, CA 94534-1696
Phone (707) 224-8266

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Aldea Inc CurrentSince Mar 1, 2024 Accepting new patients
Aldea, Inc. CurrentSince Apr 27, 2025 Accepting new patients
Aldea, Inc CurrentSince Mar 1, 2024 Accepting new patients

Locations

4820 Business Center Dr
Ste 210
Fairfield, CA 94534
Phone (707) 425-9670

2455 Bennett Valley Rd
Ste B209
Santa Rosa, CA 95404
Phone (369) 217-1123

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1711584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765324800000",
    "number": "1376394460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 351",
            "city": "MONTE RIO",
            "state": "CA",
            "postal_code": "954620351",
            "telephone_number": "650-208-4203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2455 BENNETT VALLEY RD STE B209",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954045669",
            "telephone_number": "707-224-8266"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2310 1st St",
            "address_purpose": "LOCATION",
            "city": "Napa",
            "state": "CA",
            "postal_code": "945592239",
            "country_code": "US",
            "telephone_number": "707-224-8266",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4820 Business Center Dr Ste 210",
            "address_purpose": "LOCATION",
            "city": "Fairfield",
            "state": "CA",
            "postal_code": "945341696",
            "country_code": "US",
            "telephone_number": "707-224-8266",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LECOUNT",
        "first_name": "MARISSA",
        "middle_name": "JEANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-28",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "373H00000X",
            "taxonomy_group": "",
            "desc": "Day Training/Habilitation Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.