Active NPI
Ka Legacy Inc
Doing business as Legacy Online Counseling and Consulting LLC
- Professional Counselor
- Manila, AR
National Provider Identifier
1174396980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- KA LEGACY INC
- Doing business as
- Legacy Online Counseling and Consulting LLC
- Practice address
- 103 W Fleeman
Manila, AR 72442 - Phone
- (870) 919-6585
- NPI assigned
- Nov 2, 2023
- Last updated
- Jul 15, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tonya Tatroe, LPC
- Title
- Ceo
- Phone
- (870) 919-6585
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | NU | ||
| Professional Counselor | 101YP2500X | NU | Primary | |
| Community/Behavioral Health Agency | 251S00000X | NU |
Addresses
Primary practice location
103 W Fleeman
Manila, AR 72442
Mailing address
103 W Fleeman
Manila, AR 72442-9187
Phone (870) 919-6585
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 429713402 | Other | AR | BCBS |
| 333776744 | Medicaid | AR | |
| 429713402 | Other | AR | UNITED HEALTH |
Other names 1
- Legacy Online Counseling and Consulting LLC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS, AR
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
202 Klondyke Rd
Long Beach, MS 39560
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698883200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1784073600000",
"number": "1174396980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 W FLEEMAN",
"city": "MANILA",
"state": "AR",
"postal_code": "724429187",
"telephone_number": "870-919-6585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 W FLEEMAN",
"city": "MANILA",
"state": "AR",
"postal_code": "72442",
"telephone_number": "870-919-6585"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KA LEGACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2023-11-02",
"last_updated": "2026-07-15",
"certification_date": "2026-07-15",
"status": "A",
"authorized_official_last_name": "TATROE",
"authorized_official_first_name": "TONYA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "870-919-6585",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "429713402",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "333776744",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH",
"identifier": "429713402",
"state": "AR"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Legacy Online Counseling and Consulting LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Manila, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2026; 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.