Individual provider Active NPI

Sven Lailer Legg-Grady, ED.S, LPC, NCC

  • Professional Counselor
  • Blairsville, GA
National Provider Identifier
1689181786
Registry record updated Sep 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
3688 Gainesville Hwy
Blairsville, GA 30512-6503
Phone
(706) 250-0415
Fax
(706) 487-8498
NPI assigned
Jan 10, 2018
Last updated
Sep 2, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2022

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 Primary

Addresses

Primary practice location

3688 Gainesville Hwy
Blairsville, GA 30512-6503

Mailing address

3688 Gainesville Hwy
Blairsville, GA 30512-6503
Phone (706) 250-0415

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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

Enrollment IDStateProvider typePAC IDDetails
I20240226000777 GA Practitioner - Mental Health Counselor 1153667068 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Georgia Mountains Community ServicesGroup PAC ID 8921094400, 27 clinicians

Practice addresses (Care Compare)

3688 Gainesville Hwy
Blairsville, GA 30512-6503
Phone (706) 250-0415

4331 Thurmon Tanner Rd
Flowery Branch, GA 30542-2829
Phone (678) 513-5700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Svens Counseling Services LLC Professional CurrentSince Nov 3, 2023 Accepting new patients
Union General Affiliated Services, LLC PastSince Apr 5, 2020 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1515542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662076800000",
    "number": "1689181786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3688 GAINESVILLE HWY",
            "city": "BLAIRSVILLE",
            "state": "GA",
            "postal_code": "305126503",
            "telephone_number": "706-250-0415",
            "fax_number": "706-487-8498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3688 GAINESVILLE HWY",
            "city": "BLAIRSVILLE",
            "state": "GA",
            "postal_code": "305126503",
            "telephone_number": "706-250-0415",
            "fax_number": "706-487-8498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEGG-GRADY",
        "first_name": "SVEN",
        "middle_name": "LAILER",
        "credential": "ED.S, LPC, NCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-10",
        "last_updated": "2022-09-02",
        "certification_date": "2022-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blairsville, GA

Sources for this page

Verify at the official NPI Registry.