Active NPI
Shawna R Legrand, LPC
- Professional Counselor
- Cape Girardeau, MO
National Provider Identifier
1508036260
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2000164624
- Practice address
- 402 S Silver Sprng Rd
Cape Girardeau, MO 63703-7536 - Phone
- (573) 334-1100
- Fax
- (573) 334-8819
- NPI assigned
- Mar 8, 2008
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2000164624 | MO | Primary |
Addresses
Primary practice location
402 S Silver Sprng Rd
Cape Girardeau, MO 63703-7536
Mailing address
402 S Silver Sprng Rd
Cape Girardeau, MO 63703-7536
Phone (573) 334-1100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Oct 1, 2024 through Oct 1, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2000164624 | MO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204934400000",
"number": "1508036260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "402 S SILVER SPRNG RD",
"city": "CAPE GIRARDEAU",
"state": "MO",
"postal_code": "637037536",
"telephone_number": "573-334-1100",
"fax_number": "573-334-8819"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "402 S SILVER SPRNG RD",
"city": "CAPE GIRARDEAU",
"state": "MO",
"postal_code": "637037536",
"telephone_number": "573-334-1100",
"fax_number": "573-334-8819"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEGRAND",
"first_name": "SHAWNA",
"middle_name": "R",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-08",
"last_updated": "2008-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "2000164624",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cape Girardeau, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2008; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.