Active NPI
Pennie Leggett, M.A., L.A.M.F.T.
- Marriage & Family Therapist
- Parker, AZ
National Provider Identifier
1306280888
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LAMFT-10311
- Practice address
- 12033 Agency Rd
730
Parker, AZ 85344-7718 - Phone
- (928) 669-3256
- Fax
- (928) 669-3252
- NPI assigned
- Apr 26, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | LAMFT-10311 | AZ | Primary |
Addresses
Primary practice location
12033 Agency Rd
730
Parker, AZ 85344-7718
Mailing address
12302 Kennedy Dr
Parker, AZ 85344-9734
Phone (928) 669-3256
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
107 Elmwood Dr
Chattanooga, TN 37411-4209
3228 Brainerd Rd
Chattanooga, TN 37411-3500
Phone (423) 370-3010
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LAMFT-10311 | AZ | MD | Marriage & Family Therapist |
| 1526 | TN | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pennie Jo Leggett | Marriage & Family Therapist | Current | Accepting new patients |
| Colorado River Indian Tribes | Past | Accepting new patients | |
| Colorado River Indian Tribes | Past | Accepting new patients |
Locations
3228 Brainerd Rd
Chattanooga, TN 37411
Phone (423) 370-3010
Organizations & group practices 3
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.
-
dba Dreamcatcher Counseling & Meditation Center
- Marriage & Family Therapist
- Chattanooga, TN
- NPI 1841936366
-
- Community/Behavioral Health Agency
- Parker, AZ
- NPI 1083887574
-
- Non-emergency Medical Transport (VAN)
- Parker, AZ
- NPI 1528318227
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366934400000",
"number": "1306280888",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12302 KENNEDY DR",
"city": "PARKER",
"state": "AZ",
"postal_code": "853449734",
"telephone_number": "928-669-3256",
"fax_number": "928-669-3252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12033 AGENCY RD",
"address_2": "730",
"city": "PARKER",
"state": "AZ",
"postal_code": "853447718",
"telephone_number": "928-669-3256",
"fax_number": "928-669-3252"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEGGETT",
"first_name": "PENNIE",
"name_prefix": "Ms.",
"credential": "M.A., L.A.M.F.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-04-26",
"last_updated": "2013-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "AZ",
"license": "LAMFT-10311",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Parker, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.