Individual provider Active NPI

Kamelle Shantell Leggette

  • Mental Health Counselor
  • Costa Mesa, CA
National Provider Identifier
1255802922
Registry record updated May 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
3540 Howard Way Ste 150
Costa Mesa, CA 92626-1496
Phone
(949) 646-9227
NPI assigned
Dec 6, 2018
Last updated
May 3, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2019

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 CA Primary

Addresses

Primary practice location

3540 Howard Way Ste 150
Costa Mesa, CA 92626-1496

Mailing address

3540 Howard Way Ste 150
Costa Mesa, CA 92626-1496
Phone (949) 646-9227

Other practice location 1

22471 Aspan St Ste 103
Lake Forest, CA 92630-1644
Phone (949) 458-2715

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Orange County Association for Mental Health Mental Health Past Accepting new patients
Orange County Association for Mental Health Mental Health 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1544054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556841600000",
    "number": "1255802922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3540 HOWARD WAY STE 150",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926261496",
            "telephone_number": "949-646-9227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3540 HOWARD WAY STE 150",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926261496",
            "telephone_number": "949-646-9227"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22471 Aspan St Ste 103",
            "address_purpose": "LOCATION",
            "city": "Lake Forest",
            "state": "CA",
            "postal_code": "926301644",
            "country_code": "US",
            "telephone_number": "949-458-2715",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEGGETTE",
        "first_name": "KAMELLE",
        "middle_name": "SHANTELL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-06",
        "last_updated": "2019-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Costa Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2019; 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.