Active NPI
Jacqueline Lefebre
- Clinical Psychologist
- Montgomery, AL
National Provider Identifier
1386204113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 096037
- Practice address
- 215 Perry Hill Rd
Montgomery, AL 36109-3725 - Phone
- (334) 272-4670
- NPI assigned
- Jun 14, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 096037 | IA | Primary |
Addresses
Primary practice location
215 Perry Hill Rd
Montgomery, AL 36109-3725
Mailing address
3215 Southmont Dr
Montgomery, AL 36105-1727
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jacqueline.lefebre2@va.gov |
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 |
|---|---|---|---|
| 096037 | IA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560470400000",
"number": "1386204113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3215 SOUTHMONT DR",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361051727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 PERRY HILL RD",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361093725",
"telephone_number": "334-272-4670"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEFEBRE",
"first_name": "JACQUELINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-14",
"last_updated": "2019-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IA",
"license": "096037",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jacqueline.lefebre2@va.gov",
"affiliation": "N",
"address_1": "215 Perry Hill Rd",
"city": "Montgomery",
"state": "AL",
"country_code": "US",
"postal_code": "361093725",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Montgomery, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.