Active NPI
Palmetto Counseling and Wellness, PLLC
- Community/Behavioral Health Agency
- Mesa, AZ
National Provider Identifier
1144769795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- LPC-16033
- Legal business name
- PALMETTO COUNSELING AND WELLNESS, PLLC
- Practice address
- 1845 S Dobson Rd
Suite 207
Mesa, AZ 85202-5661 - Phone
- (480) 316-5462
- NPI assigned
- Feb 15, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Jacquelyn Morella Leger, M.S.
- Title
- Founder & Counselor
- Phone
- (480) 316-5462
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | LPC-16033 | AZ | Primary |
Addresses
Primary practice location
1845 S Dobson Rd
Suite 207
Mesa, AZ 85202-5661
Mailing address
1845 S Dobson Rd
Suite 207
Mesa, AZ 85202-5661
Phone (480) 316-5462
National Provider Directory
National Provider DirectoryLocations
1845 S Dobson Rd
Ste 207
Mesa, AZ 85202
Phone (480) 721-4880
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487116800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1487116800000",
"number": "1144769795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1845 S DOBSON RD",
"address_2": "SUITE 207",
"city": "MESA",
"state": "AZ",
"postal_code": "852025661",
"telephone_number": "480-316-5462"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1845 S DOBSON RD",
"address_2": "SUITE 207",
"city": "MESA",
"state": "AZ",
"postal_code": "852025661",
"telephone_number": "480-316-5462"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PALMETTO COUNSELING AND WELLNESS, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-02-15",
"last_updated": "2017-02-15",
"status": "A",
"authorized_official_last_name": "LEGER",
"authorized_official_first_name": "JACQUELYN",
"authorized_official_middle_name": "MORELLA",
"authorized_official_title_or_position": "FOUNDER & COUNSELOR",
"authorized_official_telephone_number": "480-316-5462",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "M.S."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "AZ",
"license": "LPC-16033",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.