Shannon Jacob Legge

Primary specialty

CounselorTaxonomy code 101Y00000X

License

S.2102022-TRNE Issued in OH

Practice address

1757 Indian Wood Cir
Maumee, OH 43537-4009

Phone

(866) 688-6917

NPI assigned

Sep 30, 2021

Last updated

Sep 30, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/theteamrecovery/r4/

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.

• Team Recovery Ohio, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Toledo, OH
  • NPI 1043863384
  Medicare reassignment NPD
• Team Recovery Ohio, LLC

  • Community/Behavioral Health Agency
  • Toledo, OH
  • NPI 1952067084
  NPD

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

{
    "created_epoch": "1632960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632960000000",
    "number": "1619649357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10019 REISTERSTOWN RD FL 3",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211173902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1757 INDIAN WOOD CIR",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435374009",
            "telephone_number": "866-688-6917"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4747 Monroe St",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436234307",
            "country_code": "US",
            "telephone_number": "419-740-5709",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEGGE",
        "first_name": "SHANNON",
        "middle_name": "JACOB",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-30",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "S.2102022-TRNE",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Xiaxi Liu Layton, MD, MPH
• Benjamin Leber, LPC
• Bo-Yi Lee
• Cassandra Lee, CDCA
• Myung Jean Lee
• Jermaine Lehr
• Hannah Leininger, RBT
• Stephanie Lemut
• Duane Lewis Leonard, MT
• Staci Leupp

• Counselor in Maumee, OH
• Providers in Maumee, OH by specialty
• Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.