Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Tara Lebaron, LPCC

Individual provider Mental Health Counselor · NPI 1124490453

Tara Lebaron, LPCC is a Mental Health Counselor in Minneapolis, Minnesota. Qualified in 2013, 13 years ago. Practices with Lyn-Lake Psychotherapy and Wellness Ltd, a 72-clinician group. Licensed in Minnesota.

Years since qualifying
13
Licensed in
MN
In the registry since
2015
What do these letters mean?
LPCC — Licensed Professional Clinical Counselor
The title some states use for a licensed clinical counsellor.

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Practice location Address checks out

621 W Lake St Ste 350
Minneapolis, MN 55408-2952
Phone: (612) 979-2276
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence CC01081 (MN)

Record details

NPI number1124490453
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPCC
Sole proprietorNo
NPI enumeratedOctober 26, 2015
Last updated in NPPESApril 19, 2024
Certification dateApril 19, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Lyn-Lake Psychotherapy And Wellness Ltd — 72 clinicians
Accepts Medicare assignment Not indicated

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