Legacy Counseling Services, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

LEGACY COUNSELING SERVICES, LLC

Practice address

6715 State Park Rd
Travelers Rest, SC 29690-1831

Phone

(864) 481-0004

Fax

(864) 438-5894

NPI assigned

Jun 7, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Leo Newman, LPCNPI 1649524703

Title

Owner/Therapist

Phone

(864) 481-0004

Specialties & licenses 1

Addresses

Other names 1

• Legacy Counseling and Consulting, LLC Former legal business name

Locations

Practitioners 1

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

• Leo Joseph Newman, LPC

  • Professional Counselor
  • Travelers Rest, SC
  • NPI 1649524703
  NPD Authorized official

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

{
    "created_epoch": "1496793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592611200000",
    "number": "1689103251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6715 STATE PARK RD",
            "city": "TRAVELERS REST",
            "state": "SC",
            "postal_code": "296901831",
            "telephone_number": "864-481-0004",
            "fax_number": "864-438-5894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6715 STATE PARK RD",
            "city": "TRAVELERS REST",
            "state": "SC",
            "postal_code": "296901831",
            "telephone_number": "864-481-0004",
            "fax_number": "864-438-5894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-07",
        "last_updated": "2020-06-20",
        "certification_date": "2020-06-20",
        "status": "A",
        "authorized_official_last_name": "NEWMAN",
        "authorized_official_first_name": "LEO",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "864-481-0004",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Legacy Counseling and Consulting, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Fitzwilliam Worcester King, MD
• Lauren Crain Kittrell, LPC
• Jennifer B Klimas, DNP, FNP
• Thomas Michael Kolarik, D.C.
• Patricia Diane Lee, MA, LPCA
• Life in Balance Wellness LLC
• Linda Smith Dba Family Matters Counseling
• Sherry Josette Lindsay, N.P.
• Robin Lowe
• Francine Lozada

• Mental Health Clinic/Center (Including Community Mental Health Center) in Travelers Rest, SC
• Providers in Travelers Rest, SC by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.