Individual provider Active NPI

Daniel Louis Lecours, MD

  • Psychiatry Physician
  • Berlin, VT
National Provider Identifier
1891322954
Registry record updated Aug 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
042.0016386 Issued in VT
Practice address
350 Fisher Rd
Berlin, VT 05602-9212
Phone
(802) 828-3300
NPI assigned
Mar 26, 2020
Last updated
Aug 4, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 042.0016386 VT Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

350 Fisher Rd
Berlin, VT 05602-9212

Mailing address

350 Fisher Rd
Montpelier, VT 05633-7900
Phone (802) 828-3300

Other practice location 1

111 Colchester Ave
Burlington, VT 05401-1473
Phone (802) 847-0000

Other practice location 2

130 Fisher Rd Unit 1
Berlin, VT 05602-8132
Phone (802) 371-4100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221202002919 VT Practitioner - Psychiatry 6901228485 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Wayne State University School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
State of VermontGroup PAC ID 0446487011, 6 clinicians

Practice addresses (Care Compare)

350 Fisher Rd
Montpelier, VT 05633-7901
Phone (802) 828-3300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
042.0016386VTMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Vermont Medical Center Inc Psychiatry CurrentSince Oct 10, 2022 Accepting new patients
State of Vermont CurrentSince Nov 1, 2025 Accepting new patients
State of Vermont CurrentSince Nov 1, 2025 Accepting new patients

Locations

130 Fisher Rd
#C
Berlin, VT 05602
Phone (802) 225-5400

130 Fisher Rd
Unit 1
Berlin, VT 05602
Phone (802) 225-1743

111 Colchester Ave
Burlington, VT 05401
Phone (802) 656-2415

350 Fisher Rd
Montpelier, VT 05633
Phone (802) 828-3300

280 State Dr
#2
Waterbury, VT 05671

Interoperability endpoints

  • Direct secure messaging: dlecours376902@direct.uvmhealth.org

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1585180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722729600000",
    "number": "1891322954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 FISHER RD",
            "city": "MONTPELIER",
            "state": "VT",
            "postal_code": "056337900",
            "telephone_number": "802-828-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 FISHER RD",
            "city": "BERLIN",
            "state": "VT",
            "postal_code": "056029212",
            "telephone_number": "802-828-3300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 Colchester Ave",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "VT",
            "postal_code": "054011473",
            "country_code": "US",
            "telephone_number": "802-847-0000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "130 Fisher Rd Unit 1",
            "address_purpose": "LOCATION",
            "city": "Berlin",
            "state": "VT",
            "postal_code": "056028132",
            "country_code": "US",
            "telephone_number": "802-371-4100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LECOURS",
        "first_name": "DANIEL",
        "middle_name": "LOUIS",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-26",
        "last_updated": "2024-08-04",
        "certification_date": "2024-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VT",
            "license": "042.0016386",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berlin, VT

Sources for this page

Verify at the official NPI Registry.