Legacy Behavioral Health Solutions, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

LEGACY BEHAVIORAL HEALTH SOLUTIONS, LLC

Practice address

850 Mill St Ste 200
Reno, NV 89502-1435

Phone

(702) 942-1774

Fax

(702) 942-1773

NPI assigned

Apr 15, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Abby Grossa

Title

Cfo

Phone

(702) 338-8373

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Tax ID family

Legacy Behavioral Health Solutions LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Legacy Behavioral Health Solutions, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Reno, NV
  • NPI 1386335107
  NPD tax ID

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Liam Alexander Paige

  • Social Worker
  • Las Vegas, NV
  • NPI 1083969885
  Medicare reassignment NPD
• Alicia H Scott, MA, LPC

  • Professional Counselor
  • Las Vegas, NV
  • NPI 1518197185
  Medicare reassignment NPD
• David J Ventrelle, PSY.D.

  • Clinical Psychologist
  • Las Vegas, NV
  • NPI 1639342140
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1460678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677974400000",
    "number": "1548614514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2921 N TENAYA WAY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891281409",
            "telephone_number": "702-942-1774",
            "fax_number": "702-942-1773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 MILL ST STE 200",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021435",
            "telephone_number": "702-942-1774",
            "fax_number": "702-942-1773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY BEHAVIORAL HEALTH SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-15",
        "last_updated": "2023-03-05",
        "certification_date": "2023-03-05",
        "status": "A",
        "authorized_official_last_name": "GROSSA",
        "authorized_official_first_name": "ABBY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "702-338-8373"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leeanne Hemenway PHD Prof LLC
• John Kinler Lees, MD
• Bianca Marie Leeth
• Anna Leff, BCABA LABA
• Legacy Behavioral Health Solutions, LLC
• Kathleen R Legarza, M.D.
• Tracy Legee, LMFT
• Legendary Smiles Orthodontics LLC
• Myrna Legge
• Tiffany Legier, LCSW

• Community/Behavioral Health Agency in Reno, NV
• Providers in Reno, NV by specialty
• Community/Behavioral Health Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.