Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Stacey Rene Le Fevre, PSYD

Individual provider Clinical Psychologist · NPI 1538470018

MS. Stacey Rene Le Fevre, PSYD is a Clinical Psychologist in South Bend, Indiana. Qualified in 2011, 15 years ago. Practices with Beacon Medical Group Inc, a 574-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
15
Licensed in
IN
In the registry since
2010
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

100 Navarre Pl Ste 5570
South Bend, IN 46601-1169
Phone: (574) 647-8610
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 100 Navarre Pl, South Bend, IN 46601-1169 — (574) 647-2550

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 20043223A (IN)

Record details

NPI number1538470018
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD
Sole proprietorNo
NPI enumeratedJune 29, 2010
Last updated in NPPESSeptember 21, 2023
Certification dateSeptember 21, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Beacon Medical Group Inc — 574 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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