Individual provider Active NPI

Anna Jill Leblanc

  • Mental Health Counselor
  • Lawrence, MA
National Provider Identifier
1659856896
Registry record updated Apr 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
15 Union St Ste 200
Lawrence, MA 01840-1823
Phone
(978) 604-0240
NPI assigned
Oct 2, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

15 Union St Ste 200
Lawrence, MA 01840-1823

Mailing address

15 Gilson Rd
Brookline, NH 03033-4418
Phone (978) 608-1667

Other practice location 1

148 Warren St
Lowell, MA 01852-2208
Phone (978) 452-1736

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address akartstein@jri.org Direct

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
I20240830001688 MA Practitioner - Mental Health Counselor 5597204800 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Justice Resource Institute, Inc. CurrentSince Jul 1, 2024 Accepting new patients
South Bay Mental Health Center Past Accepting new patients
Justice Resource Institute, Inc Past Accepting new patients

Locations

380 Massachusetts Ave
Acton, MA 01720
Phone (978) 263-3006

15 Union St
Ste 200
Lawrence, MA 01840
Phone (978) 651-2571

160 Gould St
Ste 300
Needham Heights, MA 02494
Phone (781) 559-4900

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1538438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650240000000",
    "number": "1659856896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 GILSON RD",
            "city": "BROOKLINE",
            "state": "NH",
            "postal_code": "030334418",
            "telephone_number": "978-608-1667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 UNION ST STE 200",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018401823",
            "telephone_number": "978-604-0240"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "148 Warren St",
            "address_purpose": "LOCATION",
            "city": "Lowell",
            "state": "MA",
            "postal_code": "018522208",
            "country_code": "US",
            "telephone_number": "978-452-1736",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEBLANC",
        "first_name": "ANNA",
        "middle_name": "JILL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-02",
        "last_updated": "2022-04-18",
        "certification_date": "2022-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "akartstein@jri.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "15 Union St Ste 200",
            "city": "Lawrence",
            "state": "MA",
            "country_code": "US",
            "postal_code": "018401823",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lawrence, MA

Sources for this page

Verify at the official NPI Registry.