Active NPI
Dorterra Leggett
- Counselor
- Greenville, SC
National Provider Identifier
1306588504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 6 Cross Holw
Greenville, SC 29607-4349 - Phone
- (864) 906-4803
- NPI assigned
- Apr 8, 2022
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
6 Cross Holw
Greenville, SC 29607-4349
Mailing address
429 N Main St
Greenville, SC 29601-2076
Phone (864) 906-4803
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649376000000",
"number": "1306588504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "429 N MAIN ST",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296012076",
"telephone_number": "864-906-4803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 CROSS HOLW",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296074349",
"telephone_number": "864-906-4803"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEGGETT",
"first_name": "DORTERRA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-08",
"last_updated": "2022-04-08",
"certification_date": "2022-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.