Legacy Counseling Center Inc

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

S18803 Issued in TX

Legal business name

LEGACY COUNSELING CENTER INC

Practice address

4054 McKinney Ave Ste 102
Dallas, TX 75204-2050

Phone

(214) 520-6308

NPI assigned

Jun 26, 2006

Last updated

May 31, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Melissa Grove, LPC, M.S.NPI 1194733212

Title

Executive Director

Phone

(214) 520-6308

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 27

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gail Elizabeth Atwater I, LMSW

  • Social Worker
  • Dallas, TX
  • NPI 1477975407
  Medicare reassignment Care Compare group NPD
• Jo Anne S. Spears, LCSW

  • Clinical Social Worker
  • Dallas, TX
  • NPI 1720237514
  Medicare reassignment Care Compare group
• Melissa Jean Grove, M.S., LPC

  • Professional Counselor
  • Dallas, TX
  • NPI 1194733212
  NPD (past) Authorized official
• Christen Barnum-Bishop, LPC-ASSOCIATE

  • Mental Health Counselor
  • Dallas, TX
  • NPI 1285389502
  NPD
• Kelly Briggs, LCDC

  • Addiction (Substance Use Disorder) Counselor
  • Dallas, TX
  • NPI 1548852049
  NPD
• Leo Gonzalez, LPC

  • Mental Health Counselor
  • Carrollton, TX
  • NPI 1962086504
  NPD
• Parris Quinton Greer, LPC-ASSOCIATE

  • Professional Counselor
  • Dallas, TX
  • NPI 1457049801

  Single Specialty

  NPD
• Shariyun Holmes, LPC-A

  • Professional Counselor
  • Dallas, TX
  • NPI 1407530876
  NPD
• Jose Angel Mendoza, LCDC

  • Addiction (Substance Use Disorder) Counselor
  • Dallas, TX
  • NPI 1497339022
  NPD
• Charles Derek Adleta, PSY.D., LMFT

  • Marriage & Family Therapist
  • Dallas, TX
  • NPI 1730463803
  NPD (past)
• Helen Del Rio Carter, LCSW

  • Clinical Social Worker
  • Dallas, TX
  • NPI 1114945383
  NPD (past)
• Nina Chappell, LPC

  • Professional Counselor
  • Dallas, TX
  • NPI 1386031573
  NPD (past)

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1496188800000",
    "number": "1770510075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4054 MCKINNEY AVE STE 102",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752042050",
            "telephone_number": "214-520-6308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4054 MCKINNEY AVE STE 102",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752042050",
            "telephone_number": "214-520-6308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY COUNSELING CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-26",
        "last_updated": "2017-05-31",
        "status": "A",
        "authorized_official_last_name": "GROVE",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "214-520-6308",
        "authorized_official_credential": "LPC, M.S."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "S18803",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "55GT",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "079683102",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marsha Beth Lefkof, P.T.
• Judith Lynn Leflore, PHD, RN, NNP, CPNP
• Lyndsay Gayle Leftwich-Paquette, CNP
• Legacy Assessment Group, LLC
• Legacy Chiropractic and Sports Medicine
• Legacy Dental of East Dallas, PLLC
• Legacy Dental of Glen Oaks
• Legacy Dental of Mesquite PLLC
• Legacy Heart Care of North Dallas, LLC (Flow Therapy North Dallas)
• Legacy Heart Clinic, LLC (Trinity Heart Care)

• Clinical Social Worker in Dallas, TX
• Providers in Dallas, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2017; 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.