Sven Lailer Legg-Grady, ED.S, LPC, NCC
Individual provider Active NPI Professional Counselor · Blairsville, GA
NPI 1689181786 · NPPES record last updated Sep 2, 2022
Key facts
- NPI
- 1689181786
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- Practice address
- 3688 Gainesville Hwy
Blairsville, GA 30512-6503 - Phone
- (706) 250-0415
- Fax
- (706) 487-8498
- NPI assigned
- Jan 10, 2018
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Georgia Mountains Community Services
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
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240226000777 | GA | Practitioner - Mental Health Counselor | 1153667068 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Svens Counseling Services LLC | Professional | Current |
Accepting new patients |
| Union General Affiliated Services, LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Yes |
Addresses
Primary practice location
3688 Gainesville Hwy
Blairsville, GA 30512-6503
Mailing address
3688 Gainesville Hwy
Blairsville, GA 30512-6503
Phone (706) 250-0415
Other providers in Blairsville, GA
- Jennifer Lancaster
- Janice D. Lance
- Elizabeth Land
- Molly Landry
- Robert Larsen
- Barry J Lewis
- Kassidy Lewis
- Margaret S. Licavoli
- Life Wellness Center & Bookstore, L.L.C.
- Lifecare Medical Transport LLC
All providers in Blairsville, GA · Professional Counselor in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 2, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.