Organization Active NPI

New Legacy Reentry Corp

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Louisville, KY
National Provider Identifier
1265250393
Registry record updated Apr 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
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

Updated by the provider on Apr 1, 2026

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)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 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 Other name

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
18D2327692New Legacy Reentry Corporation1115 Garvin Place, Louisville, KY 40203Certificate of waiverJul 27, 2027

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.