DR. TIMOTHY JAMES LEGG PHD, PSYD, CRNP
NPI 1063427417
Psychologist - Clinical in Clarks Summit, PA

Q: What is Timothy Legg's NPI number?

The NPI number for Timothy Legg is 1063427417. It was assigned to this individual provider in the NPPES registry on July 31, 2006.

Q: What is Timothy Legg's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Timothy Legg was last updated on November 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 31, 2006PECOS EnrolledAccepts Medicare Assignment

421 S STATE ST, CLARKS SUMMIT, PA 18411(570) 682-5777(570) 284-3078 Get Directions Write a Review

NPPES record last updated: November 12, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 12, 2024, Nov 30, 2021 (2 updates tracked since 2021).

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About Dr. Timothy James Legg Phd, Psyd, Crnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. TIMOTHY JAMES LEGG PHD, PSYD, CRNP (NPI 1063427417) is an individual clinical provider in Clarks Summit, Pennsylvania, licensed in Pennsylvania (PS019448) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1063427417

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. TIMOTHY JAMES LEGGCredential: PHD, PSYD, CRNP

Location Address421 S STATE STClarks Summit, PA 18411-1684

Mailing Address421 S State StClarks Summit, PA 18411-1684 · (570) 682-5777 · Fax (570) 284-3078

Phone(570) 682-5777

Fax(570) 284-3078

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateJuly 31, 2006

Last NPPES UpdateNovember 12, 20242 updates tracked since enumeration

NPPES CertifiedNovember 12, 2024

✔ NPI 1063427417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in PA · PS019448

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License SP-006515-H (PA)

Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License SP013800 (PA)

421 S STATE ST, Clarks Summit, PA 18411

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Timothy James Legg Phd, Psyd, Crnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6507027364

PECOS Enrollment IDI20211221000205

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Timothy Legg reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Legg Counseling & Consulting Services, LLC

Same address

Clinical

421 S STATE ST
Clarks Summit, PA 18411

Reassigned Medicare billing, Pennsylvania enrollment

NPI 1285202895 (570) 682-5777

Matthew A Berger MD PC

9.8 mi

Physician Assistant

340 MONTAGE MOUNTAIN RD
Moosic, PA 18507

Reassigned Medicare billing, Pennsylvania enrollment
38 clinicians in this Medicare group

NPI 1275617508 (570) 346-3686

Ars Treatment Centers, P.C.

239 mi

Multi-Specialty

104 DELAWARE AVE STE 244
Uniontown, PA 15401

Reassigned Medicare billing, Pennsylvania enrollment
Medicare enrollment name: Ars Treatment Centers PC
140 clinicians in this Medicare group

NPI 1346731171 (800) 805-6989

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18411 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$166.87 typical visit price

range $54.64 – $166.87

Typical copayment $41.71 (range $13.66 – $41.71)

Most-billed visit code 99205

Established Patient

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DAVID RENJILIAN PH.D.

Psychologist (Clinical)