Legacy Mental Health LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

LEGACY MENTAL HEALTH LLC

Practice address

13575 E 104TH Ave Unit 300
Commerce City, CO 80022-8401

Phone

(720) 689-1165

Fax

(616) 369-0917

NPI assigned

Feb 9, 2024

Organization subpart

No

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

Authorized official

Name

Typhanie Beasley, DNP, FNP-C, PMHNP-BCNPI 1194117614

Title

Nurse Practitioner

Phone

(720) 338-6870

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Typhanie Beasley, FNP

  • Nurse Practitioner
  • Aurora, CO
  • NPI 1194117614
  NPD Authorized official

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

{
    "created_epoch": "1707436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707436800000",
    "number": "1104680271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10940 S PARKER RD # 179",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801347440",
            "telephone_number": "720-338-6870",
            "fax_number": "616-369-0917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13575 E 104TH AVE UNIT 300",
            "city": "COMMERCE CITY",
            "state": "CO",
            "postal_code": "800228401",
            "telephone_number": "720-689-1165",
            "fax_number": "616-369-0917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY MENTAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-09",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A",
        "authorized_official_last_name": "BEASLEY",
        "authorized_official_first_name": "TYPHANIE",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "720-338-6870",
        "authorized_official_credential": "DNP, FNP-C, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• I Joelah Landman
• Lyndsey Larance
• Loretta Lau, PTA
• Winter Leapaldt
• Legacy Health Services LLC
• Corinne D Lentine
• Kristen Leo
• Azalea Leon
• Sarah Li, DMD
• Wyatt Lillie

• Psychiatry Physician in Commerce City, CO
• Providers in Commerce City, CO by specialty
• Psychiatry Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.