SHANNON JACOB LEGGE
NPI 1619649357
Counselor in Maumee, OH

Q: 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.

Q: What is Shannon Legge's specialty?

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

Q: 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 4 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.

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: August 16, 2026.

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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.

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

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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))