LEGACY COUNSELING LLC (NPI# 1558895375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558895375 |
| Entity Type | Organization |
| Organization Name | LEGACY COUNSELING LLC |
| Practice Address |
6564 Loisdale Ct Ste 600 Springfield VA 22150-1829 |
| Mailing Address |
Po Box 36030 North Chesterfield VA 23235-8001 |
| Practice Telephone | 8883718112 |
| Practice Fax Number | 8669363517 |
| Enumeration Date | 2017-04-18 |
| Last Update Date | 2017-06-28 |
| Authorized Official Name | KRISTIN HARRIS (MANAGER) |
| Authorized Official Telephone | 8883718112 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437505757 | Legacy Counseling LLC | Community/Behavioral Health | 1520 Northumberland Way, Monmouth Junction, NJ 08852-2374 | 2016-05-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Legacy Counseling LLC | 6564 Loisdale Court Suite 600, Springfield, Virginia 22150 |
| Street Address |
6564 LOISDALE CT STE 600 |
| City | SPRINGFIELD |
| State | VA |
| Zip Code | 22150-1829 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174009468 | Dara Healthcare Services LLC | Home Health | 6564 Loisdale Ct Ste 600, Springfield, VA 22150-1829 | 2018-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083086946 | Karla Maria Bonilla Chico | Dentist | Privada Monte Everest 1982-14, Residencial La Cuspide, Tijuana, BAJA CALIFORNIA 22150 | 2015-10-30 |
| 1093108219 | Ezra Healthcare, Inc | Home Health | 6803 Backlick Road, Suit 'b', Springfield, VA 22150 | 2015-03-12 |
| 1144611567 | Grace Home Care, LLC | Home Health | 5827 Columbia Pike Suite 211, Springfield, VA 22150 | 2015-02-06 |
| 1174938245 | Rocio Robles | Speech-Language Pathologist | 7001 A Loisdale Road, Springfield, VA 22150 | 2014-06-26 |
| 1538598149 | Johns Hopkins Pharmaquip, Inc. | Durable Medical Equipment & Medical Supplies | 7411 Alban Station Court, Suite A100, Springfield, VA 22150 | 2013-11-04 |
| 1861785958 | Sienna Vorono Winer | Pediatrics | 6501 Loisdale Ct., Springfield, VA 22150 | 2011-05-23 |
| 1023342870 | M & T Universal Health Services, LLC | Home Health | 6315 Backlick Rd Ste 308, Springfield, VA 22150 | 2009-09-28 |
| 1316127533 | Yong Hyun Kim | Dentist | 6525-c Frontier Dr., Springfield, VA 22150 | 2007-11-05 |
| 1437234655 | Metropolitan Radiology Assoc Chtd | Radiology | 6128 Brandon Avenue, Suite 205, Springfield, VA 22150 | 2006-10-26 |
| 1033217179 | Allison Nayer | Occupational Therapist | The Chesapeake Center, Inc., 6506 Loisdale Rd., Suite 300, Springfield, VA 22150 | 2006-09-20 |
| Find all providers in zip 22150 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518500107 | Radame Antonio Jusino | Community/Behavioral Health | 6 Loretta St, Springfield, MA 01118-1045 | 2019-10-25 |
| 1639710577 | Southeast Wellness Works | Community/Behavioral Health | 189 E 9th Ave, Springfield, CO 81073-1601 | 2019-10-02 |
| 1083260798 | Rite Care Home Health Services, LLC | Community/Behavioral Health | 9420 Park Hunt Ct, Springfield, VA 22153-1351 | 2019-08-18 |
| 1972159770 | Dr. Wadeson, LLC | Community/Behavioral Health | 5133 S Campbell Ave Ste 204, Springfield, MO 65810-2437 | 2019-08-16 |
| 1407408081 | Treasure of Hope Florida Inc | Community/Behavioral Health | 44 Edgewood St, Springfield, MA 01109-3025 | 2019-07-12 |
| 1013577642 | Latino Counseling Center, Inc | Community/Behavioral Health | 125 Liberty St Ste 100, Springfield, MA 01103-1109 | 2019-06-17 |
| 1871157768 | Able Autism Care LLC | Community/Behavioral Health | 54 Bissell St, Springfield, MA 01119-1451 | 2019-04-25 |
| 1528535770 | Tenea Claudette Davis | Community/Behavioral Health | 122 Chestnut St, Springfield, MA 01103-1538 | 2018-10-25 |
| 1982195707 | Asra Mir | Community/Behavioral Health | 140 High St Ste 2, Springfield, MA 01105-1442 | 2018-05-29 |
| 1740712504 | The Resiliency Center Inc | Community/Behavioral Health | 3233 Mathers Rd, Suite C, Springfield, IL 62711-7936 | 2017-03-31 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 22150 |
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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.