Amanda Chavis-Legerton, MAED, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

10388 Issued in NC

Practice address

110 Branchwood Dr Ste B
Jacksonville, NC 28546-5900

Phone

(910) 938-9833

Fax

(910) 938-9835

NPI assigned

Jan 23, 2015

Last updated

Apr 2, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Easter Seals Ucp North Carolina & Virginia, Inc.

  • Pharmacy
  • New Bern, NC
  • NPI 1013769629
  NPD (past)
• Pride in North Carolina, LLC

  • Community/Behavioral Health Agency
  • Jacksonville, NC
  • NPI 1821136581

  Mental Health

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1421971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522627200000",
    "number": "1518357953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 SAINT JOSEPH ST APT 16",
            "city": "CAROLINA BEACH",
            "state": "NC",
            "postal_code": "284284700",
            "telephone_number": "910-736-2925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 BRANCHWOOD DR STE B",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285465900",
            "telephone_number": "910-938-9833",
            "fax_number": "910-938-9835"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 Saint Joseph St Apt 16",
            "address_purpose": "LOCATION",
            "city": "Carolina Beach",
            "state": "NC",
            "postal_code": "284284700",
            "country_code": "US",
            "telephone_number": "910-736-2925",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAVIS-LEGERTON",
        "first_name": "AMANDA",
        "credential": "MAED, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-23",
        "last_updated": "2018-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "10388",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "10388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles R.Martin,M.D.P.a.
• Krystina Charlesworth
• Abigail Ruth Chavez
• Berta Chavez, LCSW
• Kyra Bella Chavira, RBT
• Karen Ann Chavis, FNP-C
• George Chekan Jr., MD
• Chemical Dependence Training Evalua
• Latinya R Cherival
• Brandi Chester, LCMHC-A

• Mental Health Counselor in Jacksonville, NC
• Providers in Jacksonville, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.