Nicole R Legrand, CDCA

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CDCA.166423 Issued in OH

Practice address

17 Private Drive 2089
South Point, OH 45680-7388

Phone

(740) 532-3767

NPI assigned

Mar 23, 2018

Sex

Female

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

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 and National Provider Directory roles.

• Spectrum Outreach Services, LTD

  • Community/Behavioral Health Agency
  • Ironton, OH
  • NPI 1013969666

  Addiction (Substance Use Disorder)

  NPD (past)
• Spectrum Outreach Services, LTD

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Ironton, OH
  • NPI 1699254300
  NPD (past)

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

{
    "created_epoch": "1521763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521763200000",
    "number": "1669976510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 S 4TH ST",
            "city": "IRONTON",
            "state": "OH",
            "postal_code": "456381610",
            "telephone_number": "740-532-3767",
            "fax_number": "740-532-3385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 PRIVATE DRIVE 2089",
            "city": "SOUTH POINT",
            "state": "OH",
            "postal_code": "456807388",
            "telephone_number": "740-532-3767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEGRAND",
        "first_name": "NICOLE",
        "middle_name": "R",
        "credential": "CDCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-23",
        "last_updated": "2018-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "CDCA.166423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Kruel, BSW MHA
• Labette Dialysis LLC
• Cara Renee Langdon, MA
• Robert Lawless, CDCA
• Legacy Riverview of South Point Operating Company, LLC
• Ericka Leighty
• Steffany Lien
• Matthew Edward Lies
• James Dean Lilly, CDCA
• Lincare Inc.

• All providers in South Point, OH
• Addiction (Substance Use Disorder) Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.