Active NPI
Scott Legleitner
- Counselor
- Traverse City, MI
National Provider Identifier
1487027165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 6451019399
- Practice address
- 1805 Sweet Fern Way
Traverse City, MI 49696-8936 - Phone
- (248) 240-2313
- NPI assigned
- Nov 4, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 6352000809 | MI | |
| Pharmacy Technician | 183700000X | 5353004501 | MI | |
| Counselor | 101Y00000X | 6451019399 | MI | Primary |
Addresses
Primary practice location
1805 Sweet Fern Way
Traverse City, MI 49696-8936
Mailing address
1805 Sweet Fern Way
Traverse City, MI 49696-8936
Phone (248) 240-2313
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301017931 | MI | MD | Psychologist |
| 5303009832 | MI | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1446595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783555200000",
"number": "1487027165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1805 SWEET FERN WAY",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496968936",
"telephone_number": "248-240-2313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1805 SWEET FERN WAY",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496968936",
"telephone_number": "248-240-2313"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEGLEITNER",
"first_name": "SCOTT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-11-04",
"last_updated": "2026-07-09",
"certification_date": "2026-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MI",
"license": "6352000809",
"primary": false
},
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "MI",
"license": "5353004501",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MI",
"license": "6451019399",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Traverse City, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.