Active NPI
New Legacy Reentry Corp
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Louisville, KY
National Provider Identifier
1265250393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- NEW LEGACY REENTRY CORP
- Practice address
- 1115 Garvin PL
Louisville, KY 40203-3178 - Phone
- (502) 276-0660
- Fax
- (502) 415-7171
- NPI assigned
- Sep 27, 2024
- 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
- Gisela Dinese Nelson
- Title
- Executive Director
- Phone
- (502) 276-0660
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Community/Behavioral Health Agency | 251S00000X | |||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary | ||
| Recovery Care Clinic/Center | 261QR0800X |
Addresses
Primary practice location
1115 Garvin PL
Louisville, KY 40203-3178
Mailing address
1115 Garvin PL
Louisville, KY 40203-3178
Phone (502) 276-0660
Other names 1
- New Legacy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 18D2327692 | New Legacy Reentry Corporation | Certificate of waiver | Jul 27, 2027 |
National Provider Directory
National Provider DirectoryLocations
1115 Garvin Pl
Louisville, KY 40203
Phone (502) 416-8783
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727395200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1775001600000",
"number": "1265250393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1115 GARVIN PL",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402033178",
"telephone_number": "502-276-0660",
"fax_number": "502-415-7171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1115 GARVIN PL",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402033178",
"telephone_number": "502-276-0660",
"fax_number": "502-415-7171"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW LEGACY REENTRY CORP",
"organizational_subpart": "NO",
"enumeration_date": "2024-09-27",
"last_updated": "2026-04-01",
"certification_date": "2026-04-01",
"status": "A",
"authorized_official_last_name": "NELSON",
"authorized_official_first_name": "GISELA",
"authorized_official_middle_name": "DINESE",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "502-276-0660"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QR0800X",
"taxonomy_group": "",
"desc": "Clinic/Center, Recovery Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "New Legacy",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.