Active NPI
Legacy Health Foundation
- Community/Behavioral Health Agency
- Norfolk, VA
National Provider Identifier
1386479640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- LEGACY HEALTH FOUNDATION
- Practice address
- 223 E City Hall Ave Ste 200B
Norfolk, VA 23510-1700 - Phone
- (757) 738-4959
- Fax
- (443) 329-9452
- NPI assigned
- Sep 5, 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
- Calvin Demond Williams Jr., CSAC-A
- Title
- Owner
- Phone
- (804) 963-5501
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
223 E City Hall Ave Ste 200B
Norfolk, VA 23510-1700
Mailing address
223 E City Hall Ave Ste 200B
Norfolk, VA 23510-1700
Phone (804) 963-5501
National Provider Directory
National Provider DirectoryLocations
223 E City Hall Ave
Ste 200B
Norfolk, VA 23510
Phone (757) 447-0871
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Chesapeake, VA
- NPI 1659100139
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1725494400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1780444800000",
"number": "1386479640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "223 E CITY HALL AVE STE 200B",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235101700",
"telephone_number": "804-963-5501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "223 E CITY HALL AVE STE 200B",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235101700",
"telephone_number": "757-738-4959",
"fax_number": "443-329-9452"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEGACY HEALTH FOUNDATION",
"organizational_subpart": "NO",
"enumeration_date": "2024-09-05",
"last_updated": "2026-06-03",
"certification_date": "2026-06-03",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "CALVIN",
"authorized_official_middle_name": "DEMOND",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "804-963-5501",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "CSAC-A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norfolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.