Active NPI
Rochelle Legare, LPC/MHSP
- Professional Counselor
- Dalton, GA
National Provider Identifier
1750789533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 3133
- Practice address
- 302 S Thornton Ave
Dalton, GA 30720-8268 - Phone
- (210) 995-8158
- NPI assigned
- Dec 10, 2014
- Sex
- Female
- Sole proprietor
- No
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 | 3133 | TN | Primary |
Addresses
Primary practice location
302 S Thornton Ave
Dalton, GA 30720-8268
Mailing address
7725 Ridge Bay Dr
Hixson, TN 37343-1864
Phone (210) 995-8158
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3133 | TN | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1418169600000",
"number": "1750789533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7725 RIDGE BAY DR",
"city": "HIXSON",
"state": "TN",
"postal_code": "373431864",
"telephone_number": "210-995-8158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "302 S THORNTON AVE",
"city": "DALTON",
"state": "GA",
"postal_code": "307208268",
"telephone_number": "210-995-8158"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEGARE",
"first_name": "ROCHELLE",
"credential": "LPC/MHSP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-12-10",
"last_updated": "2014-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TN",
"license": "3133",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dalton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.