Active NPI
Legacy Therapeutic Services
- Professional Counselor
- Wake Forest, NC
National Provider Identifier
1215493440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- LEGACY THERAPEUTIC SERVICES
- Practice address
- 4200 Sunset Falls Rd
Wake Forest, NC 27587-4312 - Phone
- (919) 685-2324
- NPI assigned
- Feb 12, 2019
- 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
- Althea Alston
- Title
- Manager
- Phone
- (919) 685-2324
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Professional Counselor | 101YP2500X | Primary | ||
| Psychologist | 103T00000X | |||
| Social Worker | 104100000X | |||
| Community/Behavioral Health Agency | 251S00000X |
Addresses
Primary practice location
4200 Sunset Falls Rd
Wake Forest, NC 27587-4312
Mailing address
7800 Falls of Neuse Rd Unit 97982
Raleigh, NC 27624-0144
National Provider Directory
National Provider DirectoryLocations
7800 Falls of Neuse Rd
Unit 97982
Raleigh, NC 27624
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549929600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1549929600000",
"number": "1215493440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7800 FALLS OF NEUSE RD UNIT 97982",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276240144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4200 SUNSET FALLS RD",
"city": "WAKE FOREST",
"state": "NC",
"postal_code": "275874312",
"telephone_number": "919-685-2324"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEGACY THERAPEUTIC SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2019-02-12",
"last_updated": "2019-02-12",
"status": "A",
"authorized_official_last_name": "ALSTON",
"authorized_official_first_name": "ALTHEA",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "919-685-2324"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
},
{
"code": "103T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wake Forest, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.