Active NPI
The Legacy Team LLC
- Community/Behavioral Health Agency
- Wake Forest, NC
National Provider Identifier
1235699513
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- THE LEGACY TEAM LLC
- Practice address
- 4200 Sunset Falls Rd
Wake Forest, NC 27587-4312 - Phone
- (919) 673-4419
- NPI assigned
- Mar 22, 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
- Ms. Althea Alston, BS
- Title
- Ceo
- Phone
- (919) 685-2324
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | |||
| Community/Behavioral Health Agency | 251S00000X | Primary | ||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | |||
| Adult Mental Health Clinic/Center | 261QM0850X | |||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X |
Addresses
Primary practice location
4200 Sunset Falls Rd
Wake Forest, NC 27587-4312
Mailing address
4200 Sunset Falls Rd
Wake Forest, NC 27587-4312
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Raleigh, NC
- NPI 1619018587
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553212800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1591747200000",
"number": "1235699513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4200 SUNSET FALLS RD",
"city": "WAKE FOREST",
"state": "NC",
"postal_code": "275874312"
},
{
"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": "919-673-4419"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE LEGACY TEAM LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-03-22",
"last_updated": "2020-06-10",
"certification_date": "2020-06-10",
"status": "A",
"authorized_official_last_name": "ALSTON",
"authorized_official_first_name": "ALTHEA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "919-685-2324",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "BS"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental 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 Jun 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.