Nerissa A Legg, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401019141 Issued in MI

Practice address

24100 Southfield Rd Ste 204
Southfield, MI 48075-2851

Phone

(248) 242-5545

NPI assigned

Jul 12, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Melanated Crown Mental Health and Consulting Services

  • Community/Behavioral Health Agency
  • Canton, MI
  • NPI 1629746664
  NPD Authorized official
• Introspective Counseling, LLC

  • Mental Health Counselor
  • Southfield, MI
  • NPI 1831654326

  Professional

  NPD (past)

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

{
    "created_epoch": "1499817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1063934974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9517 LAKESIDE DR",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481973033",
            "telephone_number": "734-431-8503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24100 SOUTHFIELD RD STE 204",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480752851",
            "telephone_number": "248-242-5545"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 S Raisinville Rd",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "MI",
            "postal_code": "481610726",
            "country_code": "US",
            "telephone_number": "734-243-7340",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3150 Packard Rd",
            "address_purpose": "LOCATION",
            "city": "Ypsilanti",
            "state": "MI",
            "postal_code": "481971994",
            "country_code": "US",
            "telephone_number": "734-203-0183",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEGG",
        "first_name": "NERISSA",
        "middle_name": "A",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-12",
        "last_updated": "2022-07-21",
        "certification_date": "2021-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401016088",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401019141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fred Barry Leff, D.P.M.
• Randy Michael Leff, D.P.M.
• Rachel Lefkowitz
• Legacy Home Care, Inc.
• Legarius
• Cynthia Leino-Handford, R.N.
• Carla Xiomara Leiva
• Athena Maria Lekanides, MD
• Lela Stovall, LLC
• Vanessa Rae Lelli

• Professional Counselor in Southfield, MI
• Providers in Southfield, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.