Organization Active NPI

Ka Legacy Inc

Doing business as Legacy Online Counseling and Consulting LLC

  • Professional Counselor
  • Manila, AR
National Provider Identifier
1174396980
Registry record updated Jul 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2026

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

Authorized official

Name
Tonya Tatroe, LPCNPI 1619196821
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
429713402OtherARBCBS
333776744MedicaidAR
429713402OtherARUNITED HEALTH

Other names 1

  • Legacy Online Counseling and Consulting LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, AR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20260528000017 MS Part B Supplier - Clinic/Group Practice 9931679289 Receives reassigned benefits from 1 practitioner
Practice locations: Long Beach, MS
O20260530000081 AR Part B Supplier - Clinic/Group Practice 9931679289 Receives reassigned benefits from 1 practitioner
Practice locations: Manila, AR

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.