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SHANNON JACOB LEGGE
NPI 1619649357
Counselor in Maumee, OH

Active since September 30, 2021PECOS Enrolled
1757 INDIAN WOOD CIR, MAUMEE, OH 43537(866) 688-6917 Get Directions Write a Review

NPPES record last updated: September 30, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Shannon Jacob Legge NPPES

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

SHANNON JACOB LEGGE (NPI 1619649357) is an individual counselor in Maumee, Ohio, licensed in Ohio (S.2102022-TRNE) and active in the NPI registry since September 2021. He is enrolled in Medicare PECOS and maintains a secondary practice location in Toledo.

NPPES Registry Identity

NPI1619649357
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameSHANNON JACOB LEGGE
Location Address1757 INDIAN WOOD CIRMaumee, OH 43537-4009
Mailing Address10019 Reisterstown Rd Fl 3Owings Mills, MD 21117-3902
Phone(866) 688-6917
Sole ProprietorNo
Enumeration DateSeptember 30, 2021
NPPES CertifiedSeptember 30, 2021
✔ NPI 1619649357 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in OH · S.2102022-TRNE
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
1757 INDIAN WOOD CIR, Maumee, OH 43537
Open in Google Maps ↗

Secondary Practice Location 1

Location 14747 Monroe StToledo, OH 43623-4307 · Phone (419) 740-5709

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, MedMutual, Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shannon Jacob Legge is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Shannon Legge reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Team Recovery Ohio, LLC
7.4 mi
Community/Behavioral Health
4352 W SYLVANIA AVE
Toledo, OH 43623
  • Reassigned Medicare billing, Ohio enrollment
  • 15 clinicians in this Medicare group
NPI 1952067084 (419) 561-5433

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

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.

ARIANNE M MOORE
Counselor (Addiction (Substance Use Disorder))
1757 INDIAN WOOD CIR
MAUMEE, OH 43537
Lucas County (866) 688-6917
JENNA TUREK LSW
Social Worker
1757 INDIAN WOOD CIR
MAUMEE, OH 43537
Lucas County (866) 688-6917
MEGAN GRIFFITH
Counselor (Addiction (Substance Use Disorder))
1757 INDIAN WOOD CIR
MAUMEE, OH 43537
Lucas County (866) 688-6917
MIDWEST DETOX CENTER LLC
Substance Abuse Rehabilitation Facility
1757 INDIAN WOOD CIR
MAUMEE, OH 43537
Lucas County (866) 806-0308
EMMA LEE RAHN
Social Worker
1757 INDIAN WOOD CIR
MAUMEE, OH 43537
Lucas County (866) 688-6917
CHRISTIN RAE BIGLEY RN
Nursing Care
1757 INDIAN WOOD CIR
MAUMEE, OH 43537
Lucas County (419) 273-6820
CHRISTINA WISHART RN
Nursing Care
1757 INDIAN WOOD CIR
MAUMEE, OH 43537
Lucas County (866) 688-6917
NICOLE RAYNER
Counselor (Addiction (Substance Use Disorder))
1757 INDIAN WOOD CIR
MAUMEE, OH 43537
Lucas County (833) 692-9134

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 Shannon Legge's NPI number?

The NPI number for Shannon Legge is 1619649357. It was assigned to this individual provider in the NPPES registry on September 30, 2021.

Where is Shannon Legge located?

Shannon Legge practices at 1757 Indian Wood Cir, Maumee, OH 43537. The listed phone number is (866) 688-6917.

What is Shannon Legge's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Shannon Legge enrolled in Medicare?

Yes. Shannon Legge is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Shannon Legge's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Legge reassigns Medicare benefits to Team Recovery Ohio, LLC (Toledo, OH). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shannon Legge's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shannon Legge accept?

Health plans from Anthem Blue Cross and Blue Shield, MedMutual and Molina Healthcare list Shannon Legge 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 Shannon Legge was last updated on September 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.