Organization Active NPI

Palmetto Counseling and Wellness, PLLC

  • Community/Behavioral Health Agency
  • Mesa, AZ
National Provider Identifier
1144769795
Registry record updated Feb 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
LPC-16033 Issued in AZ
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

Updated by the provider on Feb 15, 2017

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.