MRS. JENNIFER CLAIRE LEGGOUR (NPI# 1447268990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447268990 |
| Entity Type | Individual |
| Full Name | MRS. JENNIFER CLAIRE LEGGOUR |
| Credential | PSYH |
| Practice Address |
124 N Main St Ste C Berlin MD 21811-1062 |
| Practice Telephone | 4106414598 |
| Practice Fax Number | 4106414696 |
| Mailing Telephone | 4106414598 |
| Mailing Fax Number | 4105432233 |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2012-04-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
03814 | MD | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 019077200 | 05 |
| Street Address |
124 N MAIN ST STE C |
| City | BERLIN |
| State | MD |
| Zip Code | 21811-1062 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043254824 | Worcester Youth and Family Counseling Services, Inc. | Counselor | 124 N Main St Ste C, Berlin, MD 21811-1062 | 2006-06-15 |
| 1932725306 | Madeline Catherine O'malley | Social Worker | 124 N Main St Ste C, Berlin, MD 21811-1062 | 2020-06-22 |
| 1730648577 | Amanda Christine Chaffee | Social Worker | 124 N Main St Ste C, Berlin, MD 21811-1062 | 2019-03-19 |
| 1750840203 | Kelly Michelle Beeseck | Social Worker | 124 N Main St Ste C, Berlin, MD 21811-1062 | 2019-03-14 |
| 1144605593 | Jacquelyn Nicole Hirsch | Social Worker | 124 N Main St Ste C, Berlin, MD 21811-1062 | 2015-07-28 |
| 1669883880 | Brooke Manley | Counselor | 124 N Main St Ste C, Berlin, MD 21811-1062 | 2014-05-09 |
| 1144594615 | Tracey Davis Gladmon | Counselor | 124 N Main St Ste C, Berlin, MD 21811-1062 | 2012-03-01 |
| 1184940413 | Lori Carson | Counselor | 124 N Main St Ste C, Berlin, MD 21811-1062 | 2010-04-12 |
| 1629306873 | Patricia Maroon | Counselor | 124 N Main St Ste C, Berlin, MD 21811-1062 | 2009-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366912909 | Kathleen Cathell | Speech-Language Pathologist | 11187 Racetrack Rd, Berlin, MD 21811 | 2018-11-27 |
| 1033613336 | Kimberly Rose Richardson | Registered Nurse | Atlantic General Hospital, 9733 Healthway Dr, Berlin, MD 21811 | 2018-03-21 |
| 1780108514 | Jayme Sroka Mahoney | Marriage & Family Therapist | 124 N. Main St. Ste. C, Berlin, MD 21811 | 2017-08-02 |
| 1013332543 | Ray Charles Lockamy Jr. | Behavior Technician | 10514 Racetrack Rd Ste G, Berlin, MD 21811 | 2014-02-20 |
| 1972845121 | Timothy Pearson | Dermatology | 9948 N. Main St., Berlin, MD 21811 | 2013-03-25 |
| 1710248315 | Jaime Farrell Coates | Counselor | 378 Schooner Ln, Berlin, MD 21811 | 2012-05-31 |
| 1902185697 | Lee Ahlstrom | Pharmacist | 11307 Manklin Creek Rd, Berlin, MD 21811 | 2011-08-11 |
| 1780987677 | Worcester County Health Department | Public Health or Welfare | 107 Williams Street, Worcester County Health Department Dental Center, Berlin, MD 21811 | 2010-12-15 |
| 1942511563 | Corey Lee Smith | Dentist | 11204 Racetrack Rd Ste 102, Berlin, MD 21811 | 2010-06-29 |
| 1255656062 | Sarah Mae Brown | Pharmacist | Apple Discount Drugs 314 Franklin Avenue, Berlin, MD 21811 | 2010-04-05 |
| Find all providers in zip 21811 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174604771 | Elvin B Coblentz | Psychologist | 5130 Tr 359, Berlin, OH 44610 | 2006-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154947422 | Kathryn Victoria Kline | Psychologist | 8137 Greenbelt Station Pkwy, Greenbelt, MD 20770-4077 | 2020-06-22 |
| 1801412333 | At The Top Wellness, LLC | Psychologist | 8775 Centre Park Dr # M763, Columbia, MD 21045-2177 | 2020-06-20 |
| 1154942936 | Heather Ganginis Delpino | Psychologist | 5 Horizon Ct, Derwood, MD 20855-1347 | 2020-05-03 |
| 1194356717 | Kristin Sagun | Psychologist | 3901 National Drive, Suite #100, Burtonsville, MD 20866 | 2020-02-02 |
| 1790325512 | Step of Faith, LLC | Psychologist | 6302 N Point Rd Unit C, Sparrows Point, MD 21219-1040 | 2020-01-09 |
| 1598301608 | Tymesha Anita Savoy | Psychologist | 5210 Carswell Ave, Camp Springs, MD 20746-3941 | 2019-11-24 |
| 1235772575 | Covenant Psychiatric and Mental Health Services, LLC | Psychologist | 8507 Oxon Hill Rd # S200-4, Fort Washington, MD 20744-4766 | 2019-10-18 |
| 1033763214 | Relational Excellence, LLC | Psychologist | 898 Airport Park Rd Ste 101, Glen Burnie, MD 21061-2521 | 2019-07-26 |
| 1285299750 | Danita Wynes | Psychologist | 8737 Colesville Rd Ste 801, Silver Spring, MD 20910-3968 | 2019-05-09 |
| 1609337021 | Tyler James Howard | Psychologist | 8600 Lasalle Road Carroll Building, Suite 212, Towson, MD 21286 | 2019-03-28 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.