Active NPI
Edward Louis Lefebvre, LCSW
- Mental Health Counselor
- Jonesboro, AR
National Provider Identifier
1508975780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 357 C
- Practice address
- 1815 Pleasant Grove Avenue
Jonesboro, AR 72401 - Phone
- (501) 920-1352
- Fax
- (870) 336-1339
- NPI assigned
- Aug 30, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 357 C | AR | Primary |
Addresses
Primary practice location
1815 Pleasant Grove Avenue
Jonesboro, AR 72401
Mailing address
11 Floral LN
North Little Rock, AR 72118-5111
Phone (501) 920-1352
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 |
|---|---|---|---|
| 357 C | AR | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330560000000",
"number": "1508975780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 FLORAL LN",
"city": "NORTH LITTLE ROCK",
"state": "AR",
"postal_code": "721185111",
"telephone_number": "501-920-1352",
"fax_number": "501-771-8549"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1815 PLEASANT GROVE AVENUE",
"city": "JONESBORO",
"state": "AR",
"postal_code": "72401",
"telephone_number": "501-920-1352",
"fax_number": "870-336-1339"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEFEBVRE",
"first_name": "EDWARD",
"middle_name": "LOUIS",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2012-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AR",
"license": "357 C",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jonesboro, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.