Individual provider Active NPI

Rachel Anne Legg, CT

  • Mental Health Counselor
  • Springfield, OH
National Provider Identifier
1013496520
Registry record updated Aug 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C.1800950-TRNE Issued in OH
Practice address
15 E. Pleasant St.
Springfield, OH 45506
Phone
(937) 325-5564
Fax
(937) 325-8727
NPI assigned
Aug 7, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C.1800950-TRNE OH Primary

Addresses

Primary practice location

15 E. Pleasant St.
Springfield, OH 45506

Mailing address

15 E Pleasant St
Springfield, OH 45506-2201
Phone (937) 325-5564

Other identifiers 1

IdentifierTypeStateIssuer
2433503MedicaidOH

Other names 1

  • Rachel Anne Greenwood Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 11, 2024 through Mar 11, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
C.1800950-TRNEOHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspring Mental Health Past Accepting new patients
Wellspring Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1533600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533600000000",
    "number": "1013496520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 E PLEASANT ST",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455062201",
            "telephone_number": "937-325-5564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 E. PLEASANT ST.",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "45506",
            "telephone_number": "937-325-5564",
            "fax_number": "937-325-8727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEGG",
        "first_name": "RACHEL",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "CT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-07",
        "last_updated": "2018-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C.1800950-TRNE",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2433503",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "GREENWOOD",
            "middle_name": "ANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Springfield, OH

Sources for this page

Verify at the official NPI Registry.