Individual provider Active NPI

Starlar Lynn Harbour

  • Mental Health Counselor
  • Victorville, CA
National Provider Identifier
1205956885
Registry record updated Mar 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
15095 Amargosa Rd
Ste. 201
Victorville, CA 92394-1868
Phone
(760) 245-4695
NPI assigned
Mar 29, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

15095 Amargosa Rd
Ste. 201
Victorville, CA 92394-1868

Mailing address

15095 Amargosa Rd
Ste. 201
Victorville, CA 92394-1868
Phone (760) 245-4695

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250815003736 NV Practitioner - Mental Health Counselor 1557860681 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2008
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2921 N Tenaya Way
Las Vegas, NV 89128-1409

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Health and Wellness, LLC CurrentSince Aug 1, 2025 Accepting new patients
Legacy Health and Wellness, LLC Current Accepting new patients
Victor Community Support Services Inc Past Accepting new patients

Locations

2921 N Tenaya Way
Las Vegas, NV 89128
Phone (702) 338-8373

2921 N Tenaya Way
Ste 126
Las Vegas, NV 89128

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237248000000",
    "number": "1205956885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15095 AMARGOSA RD",
            "address_2": "STE. 201",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923941868",
            "telephone_number": "760-245-4695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15095 AMARGOSA RD",
            "address_2": "STE. 201",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923941868",
            "telephone_number": "760-245-4695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARBOUR",
        "first_name": "STARLAR",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-29",
        "last_updated": "2009-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Victorville, CA

Sources for this page

Verify at the official NPI Registry.