Active NPI
Legacy Behavioral Solutions
- Medical Physician Assistant
- Troy, MI
National Provider Identifier
1730077082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- Legal business name
- LEGACY BEHAVIORAL SOLUTIONS
- Practice address
- 100 W Big Beaver Rd Ste 200
Troy, MI 48084-5283 - Phone
- (810) 513-9611
- NPI assigned
- Jun 25, 2025
- 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
- Jasmine Cofield, PA-C
- Title
- Medical Director
- Phone
- (810) 513-9611
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | Primary |
Addresses
Primary practice location
100 W Big Beaver Rd Ste 200
Troy, MI 48084-5283
Mailing address
100 W Big Beaver Rd Ste 200
Troy, MI 48084-5283
Phone (734) 274-9404
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physician Assistant
- Troy, MI
- NPI 1487248795
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750809600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1755820800000",
"number": "1730077082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 W BIG BEAVER RD STE 200",
"city": "TROY",
"state": "MI",
"postal_code": "480845283",
"telephone_number": "734-274-9404",
"fax_number": "734-822-0075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 W BIG BEAVER RD STE 200",
"city": "TROY",
"state": "MI",
"postal_code": "480845283",
"telephone_number": "810-513-9611"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEGACY BEHAVIORAL SOLUTIONS",
"organizational_subpart": "NO",
"enumeration_date": "2025-06-25",
"last_updated": "2025-08-22",
"certification_date": "2025-08-22",
"status": "A",
"authorized_official_last_name": "COFIELD",
"authorized_official_first_name": "JASMINE",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "810-513-9611",
"authorized_official_credential": "PA-C"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physician Assistant, Medical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Troy, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2025; 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.