Active NPI
Mark Felton Leggett, PH.D.
- Professional Counselor
- Tuscaloosa, AL
National Provider Identifier
1740539840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 1797
- Practice address
- 812 5TH Avenue
Tuscaloosa, AL 35401 - Phone
- (205) 454-1365
- NPI assigned
- Sep 5, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 1797 | AL | Primary |
Addresses
Primary practice location
812 5TH Avenue
Tuscaloosa, AL 35401
Mailing address
1017 Main Avenue
Northport, AL 35476
Phone (205) 454-1365
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1797 | AL | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346803200000",
"number": "1740539840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1017 MAIN AVENUE",
"city": "NORTHPORT",
"state": "AL",
"postal_code": "35476",
"telephone_number": "205-454-1365"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "812 5TH AVENUE",
"city": "TUSCALOOSA",
"state": "AL",
"postal_code": "35401",
"telephone_number": "205-454-1365"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEGGETT",
"first_name": "MARK",
"middle_name": "FELTON",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-09-05",
"last_updated": "2012-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AL",
"license": "1797",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tuscaloosa, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.