Jessica Carr

Primary specialty

CounselorTaxonomy code 101Y00000X

License

097.0136472 Issued in VT

Practice address

1329 VT Route 111
Derby, VT 05829-9485

Phone

(802) 487-7589

NPI assigned

May 21, 2025

Last updated

May 21, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1747785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747785600000",
    "number": "1417749839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "644 MAIN ST",
            "city": "DERBY LINE",
            "state": "VT",
            "postal_code": "058308788",
            "telephone_number": "802-487-7589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1329 VT ROUTE 111",
            "city": "DERBY",
            "state": "VT",
            "postal_code": "058299485",
            "telephone_number": "802-487-7589"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "644 Main St",
            "address_purpose": "LOCATION",
            "city": "Derby Line",
            "state": "VT",
            "postal_code": "058308788",
            "country_code": "US",
            "telephone_number": "802-487-7589",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARR",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-21",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "VT",
            "license": "097.0136472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Raven Ferguson I

• Counselor in Derby, VT
• Providers in Derby, VT by specialty
• Counselor in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.