Jessi S Deboer (Farnsworth), LCMHC, LADC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

068.0057744 Issued in VT

Practice address

8031 Williston Rd Ste 3
Williston, VT 05495-6200

Phone

(802) 398-5202

NPI assigned

Aug 12, 2010

Last updated

Feb 27, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Threelittlebirds LLC. Counseling Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Threelittlebirds, LLC

  • Mental Health Counselor
  • Williston, VT
  • NPI 1740048701
  NPD Authorized official

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

{
    "created_epoch": "1281571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708992000000",
    "number": "1437464666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8031 WILLISTON RD STE 3",
            "city": "WILLISTON",
            "state": "VT",
            "postal_code": "054956200",
            "telephone_number": "802-398-5202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8031 WILLISTON RD STE 3",
            "city": "WILLISTON",
            "state": "VT",
            "postal_code": "054956200",
            "telephone_number": "802-398-5202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBOER (FARNSWORTH)",
        "first_name": "JESSI",
        "middle_name": "S",
        "credential": "LCMHC, LADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-12",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VT",
            "license": "000536",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": "068.0057744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THREELITTLEBIRDS",
            "last_name": "COUNSELING",
            "middle_name": "LLC.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• David W. Beeson, O.D., P.C.
• Jill B Davis, M.A.
• Lori Kay Davis, LICSW
• Emily Gail Dawley, DDS
• Pamela Jane Dawson, MD
• Ronald Dell'Amore, DMD
• Hope Lindsay Denison, FNP
• Jocelyn Depaolis, RPH
• Joel A Desautels, MPT ATC
• Isabelle Desjardins, M.D.

• Mental Health Counselor in Williston, VT
• Providers in Williston, VT by specialty
• Mental Health Counselor in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2024; 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.