Organization Active NPI

Legacy Life Counseling & Consulting Inc

  • Community/Behavioral Health Agency
  • Oceanside, CA
National Provider Identifier
1255930533
Registry record updated Oct 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
LEGACY LIFE COUNSELING & CONSULTING INC
Practice address
420 N El Camino Real
Oceanside, CA 92058-7868
Phone
(760) 212-4311
NPI assigned
Oct 19, 2020
Last updated
Oct 19, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2020

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

Authorized official

Name
Mrs. Shannon Deon Morell, LMFTNPI 1609176007
Title
Ceo
Phone
(760) 212-4311

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

420 N El Camino Real
Oceanside, CA 92058-7868

Mailing address

825 College Blvd Ste 102-336
Oceanside, CA 92057-6263
Phone (760) 212-4311

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL legacylifecc@gmail.com
CONNECT URL legacylifecc@gmail.com

National Provider Directory

National Provider Directory

Locations

420 N El Camino Real
Oceanside, CA 92058
Phone (760) 212-4311

825 College Blvd
Ste 102336
Oceanside, CA 92057

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1603065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603065600000",
    "number": "1255930533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 COLLEGE BLVD STE 102-336",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920576263",
            "telephone_number": "760-212-4311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 N EL CAMINO REAL",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920587868",
            "telephone_number": "760-212-4311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY LIFE COUNSELING & CONSULTING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-19",
        "last_updated": "2020-10-19",
        "certification_date": "2020-10-19",
        "status": "A",
        "authorized_official_last_name": "MORELL",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "DEON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-212-4311",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "legacylifecc@gmail.com",
            "affiliation": "N",
            "address_1": "420 N El Camino Real",
            "city": "Oceanside",
            "state": "CA",
            "country_code": "US",
            "postal_code": "920587868",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "legacylifecc@gmail.com",
            "affiliation": "N",
            "address_1": "420 N El Camino Real",
            "city": "Oceanside",
            "state": "CA",
            "country_code": "US",
            "postal_code": "920587868",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oceanside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2020; 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.