Active NPI
Legg Counseling & Consulting Services, LLC
- Clinical Psychologist
- Clarks Summit, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- LEGG COUNSELING & CONSULTING SERVICES, LLC
- Practice address
- 421 S State St
Clarks Summit, PA 18411-1684 - Phone
- (570) 682-5777
- NPI assigned
- Jun 11, 2021
- 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
- Dr. Timothy James Legg, PHD, PSYD, CRNP
- Title
- Psychologist
- Phone
- (570) 682-5777
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | Primary |
Addresses
Primary practice location
421 S State St
Clarks Summit, PA 18411-1684
Mailing address
421 S State St
Clarks Summit, PA 18411-1684
Phone (570) 682-5777
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1418 Main St
Peckville, PA 18452
Phone (570) 586-7366
1418 Main St
Ste 101E
Peckville, PA 18452
Phone (570) 489-4357
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Clinical Psychologist
- Clarks Summit, PA
- NPI 1063427417
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623369600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1731369600000",
"number": "1285202895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "421 S STATE ST",
"city": "CLARKS SUMMIT",
"state": "PA",
"postal_code": "184111684",
"telephone_number": "570-682-5777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "421 S STATE ST",
"city": "CLARKS SUMMIT",
"state": "PA",
"postal_code": "184111684",
"telephone_number": "570-682-5777"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEGG COUNSELING & CONSULTING SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-06-11",
"last_updated": "2024-11-12",
"certification_date": "2024-11-12",
"status": "A",
"authorized_official_last_name": "LEGG",
"authorized_official_first_name": "TIMOTHY",
"authorized_official_middle_name": "JAMES",
"authorized_official_title_or_position": "PSYCHOLOGIST",
"authorized_official_telephone_number": "570-682-5777",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD, PSYD, CRNP"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clarks Summit, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.