Individual provider Active NPI

Jessica Beth Londa, PH.D.

  • Clinical Psychologist
  • Thetford, VT
National Provider Identifier
1023232964
Registry record updated Feb 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
765 Issued in VT
Practice address
Route 113
Thetford, VT 05074-0123
Phone
(802) 785-2434
NPI assigned
Apr 12, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 765 VT Primary
Clinical Psychologist 103TC0700X 915 NH

Addresses

Primary practice location

Route 113
Thetford, VT 05074-0123

Mailing address

PO Box 123
Thetford, VT 05074-0123
Phone (802) 785-2434

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
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
I20111012000826 VT Practitioner - Clinical Psychologist 6709058928 Practice locations: Thetford, VT

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
915NHMDMental Health Counselor
765VTMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770163200000",
    "number": "1023232964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 123",
            "city": "THETFORD",
            "state": "VT",
            "postal_code": "050740123",
            "telephone_number": "802-785-2434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ROUTE 113",
            "city": "THETFORD",
            "state": "VT",
            "postal_code": "050740123",
            "telephone_number": "802-785-2434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONDA",
        "first_name": "JESSICA",
        "middle_name": "BETH",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-12",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VT",
            "license": "765",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NH",
            "license": "915",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thetford, VT

Sources for this page

Verify at the official NPI Registry.