Kelsey E Legagneur, QMHP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1790 Nations Dr Ste 110
Gurnee, IL 60031-9175

Phone

(321) 889-2360

NPI assigned

Jan 6, 2023

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• One Hope United

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Gurnee, IL
  • NPI 1013627694
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1672963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672963200000",
    "number": "1003520800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3214 EDGEWOOD DR",
            "city": "WONDER LAKE",
            "state": "IL",
            "postal_code": "600979314",
            "telephone_number": "321-889-2360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1790 NATIONS DR STE 110",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600319175",
            "telephone_number": "321-889-2360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEGAGNEUR",
        "first_name": "KELSEY",
        "middle_name": "E",
        "credential": "QMHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-06",
        "last_updated": "2023-01-06",
        "certification_date": "2023-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fabian David Latocha, D.D.S
• Jennifer Lesley Lawson, MA, LPC
• Joerlyn Josiephine Lazo, DPT
• Christine S Lee, D.D.S.
• Ronald Jordan Lee
• Tracy Leipold
• Anne L. Lenzy
• Mikhail Leonen
• Denise D Leslie
• Susanne M Letto, RBT-17-44095

• Mental Health Counselor in Gurnee, IL
• Providers in Gurnee, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.