Individual provider Active NPI

Samantha Jean Legg, LCMHC

  • Mental Health Counselor
  • Raleigh, NC
National Provider Identifier
1194440313
Registry record updated May 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
18063 Issued in NC
Practice address
5000 Falls of Neuse Rd Ste 300
Raleigh, NC 27609-5480
Phone
(919) 865-8710
Fax
(919) 784-9184
NPI assigned
Oct 10, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2025

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 18063 NC Primary

Addresses

Primary practice location

5000 Falls of Neuse Rd Ste 300
Raleigh, NC 27609-5480

Mailing address

5000 Falls of Neuse Rd Ste 300
Raleigh, NC 27609-5480
Phone (919) 865-8710

Other practice location 1

1829 E Franklin St # 800
Chapel Hill, NC 27514-5861
Phone (919) 323-2071

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250617000554 NC Practitioner - Mental Health Counselor 6901317965 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
University of North Carolina at Chapel Hill School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Easter Seals Ucp North Carolina and Virginia, Inc.Group PAC ID 7618161407, 49 clinicians

Practice addresses (Care Compare)

5000 Falls of Neuse Rd
Suite 300
Raleigh, NC 27609-5480
Phone (919) 865-8710

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Easter Seals Ucp North Carolina & Virginia, Inc. Mental Health CurrentSince May 20, 2025 Accepting new patients
Easter Seals Ucp North Carolina & Virginia, Inc. CurrentSince May 20, 2025 Accepting new patients

Locations

5000 Falls of Neuse Rd
Ste 300
Raleigh, NC 27609
Phone (919) 865-8710

5171 Glenwood Ave
Ste 211
Raleigh, NC 27612
Phone (919) 210-7661

Organizations & group practices 4

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": "1665360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747872000000",
    "number": "1194440313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 FALLS OF NEUSE RD STE 300",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276095480",
            "telephone_number": "919-865-8710",
            "fax_number": "919-784-9184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 FALLS OF NEUSE RD STE 300",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276095480",
            "telephone_number": "919-865-8710",
            "fax_number": "919-784-9184"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1829 E Franklin St # 800",
            "address_purpose": "LOCATION",
            "city": "Chapel Hill",
            "state": "NC",
            "postal_code": "275145861",
            "country_code": "US",
            "telephone_number": "919-323-2071",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEGG",
        "first_name": "SAMANTHA",
        "middle_name": "JEAN",
        "credential": "LCMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-10",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "18063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.