Active NPI
Legacy Counseling LLC
- Community/Behavioral Health Agency
- Springfield, VA
National Provider Identifier
1558895375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- LEGACY COUNSELING LLC
- Practice address
- 6564 Loisdale CT Ste 600
Springfield, VA 22150-1829 - Phone
- (888) 371-8112
- Fax
- (866) 936-3517
- NPI assigned
- Apr 18, 2017
- 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
- Kristin Harris
- Title
- Manager
- Phone
- (888) 371-8112
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
6564 Loisdale CT Ste 600
Springfield, VA 22150-1829
Mailing address
PO Box 36030
North Chesterfield, VA 23235-8001
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492473600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1498608000000",
"number": "1558895375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 36030",
"city": "NORTH CHESTERFIELD",
"state": "VA",
"postal_code": "232358001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6564 LOISDALE CT STE 600",
"city": "SPRINGFIELD",
"state": "VA",
"postal_code": "221501829",
"telephone_number": "888-371-8112",
"fax_number": "866-936-3517"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEGACY COUNSELING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-04-18",
"last_updated": "2017-06-28",
"status": "A",
"authorized_official_last_name": "HARRIS",
"authorized_official_first_name": "KRISTIN",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "888-371-8112"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.