Individual provider Active NPI

Leane Marie Lafrance, LADC, ADCR-MN

  • Addiction (Substance Use Disorder) Counselor
  • Moorhead, MN
National Provider Identifier
1447734470
Registry record updated Nov 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
304605 Issued in MN
Practice address
1606 30TH Ave S
Moorhead, MN 56560-5147
Phone
(701) 566-9965
Fax
(218) 600-5488
NPI assigned
Sep 15, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 304605 MN Primary

Addresses

Primary practice location

1606 30TH Ave S
Moorhead, MN 56560-5147

Mailing address

1606 30TH Ave S
Moorhead, MN 56560-5147
Phone (701) 566-9965

Other practice location 1

725 Center Ave Ste 5
Moorhead, MN 56560-1972
Phone (218) 284-1839

Other practice location 2

814 Center Ave W
Dilworth, MN 56529
Phone (218) 277-8560

Other practice location 3

2323 16th Ave S Ste 308
Moorhead, MN 56560-3862
Phone (218) 284-1515

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

State licenses

LicenseStateTypeSpecialty
304605MNMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Radical Recovery LLC Addiction (Substance Use Disorder) CurrentSince Jan 26, 2020 Accepting new patients
Beths Place Medication Management LLC PastSince Nov 12, 2023 Accepting new patients

Locations

814 Center Ave W
Dilworth, MN 56529
Phone (218) 277-8560

2323 16th Ave S
Ste 308
Moorhead, MN 56560
Phone (207) 409-7331

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": "1536969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699660800000",
    "number": "1447734470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1606 30TH AVE S",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565605147",
            "telephone_number": "701-566-9965",
            "fax_number": "218-600-5488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1606 30TH AVE S",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565605147",
            "telephone_number": "701-566-9965",
            "fax_number": "218-600-5488"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "725 Center Ave Ste 5",
            "address_purpose": "LOCATION",
            "city": "Moorhead",
            "state": "MN",
            "postal_code": "565601972",
            "country_code": "US",
            "telephone_number": "218-284-1839",
            "fax_number": "218-287-1267",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "814 Center Ave W",
            "address_purpose": "LOCATION",
            "city": "Dilworth",
            "state": "MN",
            "postal_code": "56529",
            "country_code": "US",
            "telephone_number": "218-277-8560",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2323 16th Ave S Ste 308",
            "address_purpose": "LOCATION",
            "city": "Moorhead",
            "state": "MN",
            "postal_code": "565603862",
            "country_code": "US",
            "telephone_number": "218-284-1515",
            "fax_number": "218-213-8917",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAFRANCE",
        "first_name": "LEANE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LADC, ADCR-MN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-15",
        "last_updated": "2023-11-11",
        "certification_date": "2022-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "304605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moorhead, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2023; 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.