Active NPI
Mary'S Legacy LLC
- Peer Specialist
- Olympia, WA
National Provider Identifier
1730099268
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- Legal business name
- MARY'S LEGACY LLC
- Practice address
- 809 Legion Way SE FL 3
Olympia, WA 98501-1518 - Phone
- (425) 499-8822
- NPI assigned
- Sep 8, 2026
- 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
- Ms. Tonya Larrenda Miller, CPSS
- Title
- C Peer Support Specialist
- Phone
- (425) 499-8822
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | Primary |
Addresses
Primary practice location
809 Legion Way SE FL 3
Olympia, WA 98501-1518
Mailing address
809 Legion Way SE FL 3
Olympia, WA 98501-1518
Phone (425) 499-8822
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788825600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788825600000",
"number": "1730099268",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "809 LEGION WAY SE FL 3",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985011518",
"telephone_number": "425-499-8822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "809 LEGION WAY SE FL 3",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985011518",
"telephone_number": "425-499-8822"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARY'S LEGACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-08",
"last_updated": "2026-09-08",
"certification_date": "2026-09-08",
"status": "A",
"authorized_official_last_name": "MILLER",
"authorized_official_first_name": "TONYA",
"authorized_official_middle_name": "LARRENDA",
"authorized_official_title_or_position": "C PEER SUPPORT SPECIALIST",
"authorized_official_telephone_number": "425-499-8822",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "CPSS"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Peer Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Olympia, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.