Organization Active NPI

Pennie Jo Leggett

  • Marriage & Family Therapist
  • Chattanooga, TN
National Provider Identifier
1841936366
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
PENNIE JO LEGGETT
Practice address
3228 Brainerd Rd
Chattanooga, TN 37411-3500
Phone
(423) 370-3010
NPI assigned
May 8, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Pennie Leggett, MA LMFTNPI 1306280888
Title
Director/Clinician
Phone
(928) 916-7065

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Addresses

Primary practice location

3228 Brainerd Rd
Chattanooga, TN 37411-3500

Mailing address

107 Elmwood Dr
Chattanooga, TN 37411-4209
Phone (928) 916-7065

Other names 1

  • Dreamcatcher Counseling & Meditation Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241120000094 TN Part B Supplier - Clinic/Group Practice 0244765873 Receives reassigned benefits from 1 practitioner
Practice locations: Chattanooga, TN

National Provider Directory

National Provider Directory

Locations

3228 Brainerd Rd
Chattanooga, TN 37411
Phone (423) 370-3010

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1651968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724889600000",
    "number": "1841936366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 ELMWOOD DR",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374114209",
            "telephone_number": "928-916-7065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3228 BRAINERD RD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374113500",
            "telephone_number": "423-370-3010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENNIE JO LEGGETT",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-08",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A",
        "authorized_official_last_name": "LEGGETT",
        "authorized_official_first_name": "PENNIE",
        "authorized_official_title_or_position": "DIRECTOR/CLINICIAN",
        "authorized_official_telephone_number": "928-916-7065",
        "authorized_official_credential": "MA LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dreamcatcher Counseling & Meditation Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dreamcatcher Counseling & Meditation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chattanooga, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.