LEGION MEDICAL PA
NPI 1104511039
Psychiatry & Neurology - Psychiatry in Austin, TX

Q: What is Legion Medical PA's NPI number?

The NPI number for Legion Medical PA is 1104511039. It was assigned to this organization in the NPPES registry on April 6, 2023. The provider was formerly known as Legion Health PA.

Q: What is Legion Medical PA's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Legion Medical PA was last updated on May 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 April 06, 2023

1606 HEADWAY CIR STE 9779, AUSTIN, TX 78754(737) 237-2900(812) 221-2017 Get Directions Write a Review

NPPES record last updated: May 26, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 26, 2026, Apr 9, 2026, Dec 16, 2024 and 1 more (4 updates tracked since 2023).

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About Legion Medical Pa NPPES

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

LEGION MEDICAL PA (NPI 1104511039), doing business as Legion Health Pa, is a healthcare organization registered as a psychiatry in Austin, Texas and active in the NPI registry since April 2023. The organization maintains 2 additional practice locations and lists Jonathan Kole, President, as its authorized official.

NPPES Registry Identity

NPI1104511039

Entity TypeOrganization

Primary Taxonomy2084P0800X

Legal Business NameLEGION MEDICAL PA

Location Address1606 HEADWAY CIR STE 9779Austin, TX 78754-5123

Mailing Address1606 Headway Cir Ste 9779Austin, TX 78754-5123

Phone(737) 237-2900

Fax(812) 221-2017

Organization SubpartNo

Authorized OfficialJonathan KolePresident · (773) 633-3499

Enumeration DateApril 6, 2023

Last NPPES UpdateMay 26, 20264 updates tracked since enumeration

NPPES CertifiedMay 26, 2026

✔ NPI 1104511039 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X

Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X

Also ListedClinical Nurse Specialist · Psychiatric/Mental HealthTaxonomy 364SP0808X

1606 HEADWAY CIR STE 9779, Austin, TX 78754

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Other Names 1

Former Legal Business NameLegion Health Pa

Secondary Practice Locations 2

Location 11613 Coyote RdgCarrollton, TX 75010-3227 · Phone (737) 237-2900 · Fax (812) 221-2017

Location 2350 E 400 S Ste 54825Salt Lake City, UT 84111-2993 · Phone (737) 237-2900 · Fax (812) 221-2017

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Moda Health Plan, Inc., Sendero Health Plans, Local Nonprofit.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Legion Medical PA's NPI number?

The NPI number for Legion Medical PA is 1104511039. It was assigned to this organization in the NPPES registry on April 6, 2023. The provider was formerly known as Legion Health PA.

Where is Legion Medical PA located?

Legion Medical PA is located at 1606 Headway Cir Ste 9779, Austin, TX 78754. The listed phone number is (737) 237-2900.

What is Legion Medical PA's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

What insurance does Legion Medical PA accept?

Health plans from Blue Cross and Blue Shield of Texas, Moda Health Plan, Inc. and Sendero Health Plans, Local Nonprofit list Legion Medical PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Legion Medical PA was last updated on May 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.