Active NPI
Raquel Ferns Lefebvre
- Psychologist
- Williston, VT
National Provider Identifier
1104004274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 0470000731
- Practice address
- 1375 Maple Tree PL # 1058
Williston, VT 05495-8210 - Phone
- (802) 327-7788
- Fax
- (802) 278-0763
- NPI assigned
- Jan 31, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 0470000731 | VT | Primary |
Addresses
Primary practice location
1375 Maple Tree PL # 1058
Williston, VT 05495-8210
Mailing address
1375 Maple Tree PL # 1058
Williston, VT 05495-8210
Phone (802) 327-7788
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 047-0000731 | Other | VT | LICENSED PSYCHOLOGIST |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0470000731 | VT | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phoenix Psychotherapy LLC | Psychologist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Psychologist
- South Burlington, VT
- NPI 1114348166
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780185600000",
"number": "1104004274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1375 MAPLE TREE PL # 1058",
"city": "WILLISTON",
"state": "VT",
"postal_code": "054958210",
"telephone_number": "802-327-7788",
"fax_number": "802-278-0763"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1375 MAPLE TREE PL # 1058",
"city": "WILLISTON",
"state": "VT",
"postal_code": "054958210",
"telephone_number": "802-327-7788",
"fax_number": "802-278-0763"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEFEBVRE",
"first_name": "RAQUEL",
"middle_name": "FERNS",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-01-31",
"last_updated": "2026-05-31",
"certification_date": "2026-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "VT",
"license": "0470000731",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED PSYCHOLOGIST",
"identifier": "047-0000731",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Williston, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.