Individual provider Active NPI

Stacy Lynn Leggett, LPC

  • Professional Counselor
  • Jackson, MS
National Provider Identifier
1609697754
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
3333 Issued in MS
Practice address
1640 Lelia Dr Ste 220
Jackson, MS 39216-4832
Phone
(601) 227-4006
NPI assigned
Oct 22, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 3333 MS Primary

Addresses

Primary practice location

1640 Lelia Dr Ste 220
Jackson, MS 39216-4832

Mailing address

123 Skylane Dr
Pearl, MS 39208-4242
Phone (662) 889-3441

Other practice location 1

599 Highland Colony Pkwy Ste 110
Ridgeland, MS 39157-6075
Phone (601) 202-5980

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

LicenseStateTypeSpecialty
3333MSMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Watchman Group Inc. Mental Health CurrentSince Feb 23, 2025 Accepting new patients

Locations

599 Highland Colony Pkwy
Ste 110
Ridgeland, MS 39157
Phone (601) 202-2822

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1729555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1609697754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 SKYLANE DR",
            "city": "PEARL",
            "state": "MS",
            "postal_code": "392084242",
            "telephone_number": "662-889-3441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 LELIA DR STE 220",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164832",
            "telephone_number": "601-227-4006"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "599 Highland Colony Pkwy Ste 110",
            "address_purpose": "LOCATION",
            "city": "Ridgeland",
            "state": "MS",
            "postal_code": "391576075",
            "country_code": "US",
            "telephone_number": "601-202-5980",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEGGETT",
        "first_name": "STACY",
        "middle_name": "LYNN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-22",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MS",
            "license": "3333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.