The Legacy Way

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

THE LEGACY WAY

Practice address

439 Tara Oaks TRL
Lawrenceville, GA 30043-3046

Phone

(908) 361-7811

NPI assigned

Mar 31, 2026

Last updated

Mar 31, 2026By the provider in NPPES

Organization subpart

Yes

Parent organization

LATTICE FOUNDATIONAs reported in NPPES

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

Authorized official

Name

Shelby Roche, LPCNPI 1881068575

Title

Director of Therapeutics

Phone

(516) 902-4714

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Shelby Cynthia Roche, LPC

  • Professional Counselor
  • Atlanta, GA
  • NPI 1881068575
  Authorized official Same address or phone

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

{
    "created_epoch": "1774915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774915200000",
    "number": "1811837529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "439 TARA OAKS TRL",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300433046",
            "telephone_number": "908-361-7811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "439 TARA OAKS TRL",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300433046",
            "telephone_number": "908-361-7811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LEGACY WAY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LATTICE FOUNDATION",
        "enumeration_date": "2026-03-31",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A",
        "authorized_official_last_name": "ROCHE",
        "authorized_official_first_name": "SHELBY",
        "authorized_official_title_or_position": "DIRECTOR OF THERAPEUTICS",
        "authorized_official_telephone_number": "516-902-4714",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Kroger Co (Kroger Pharmacy #639)
• The Kroger Co (Kroger Pharmacy)
• The Kroger Co (Kroger Pharmacy)
• The Kroger Co (Kroger Pharmacy)
• The Kroger Co (Kroger Pharmacy #440)
• The Lighthouse Enrichment Services, LLC
• The Mind Spa LLC
• The Play Cooperative
• The Safety Net Youth Services
• The Social Empowerment Center

• Addiction (Substance Use Disorder) Counselor in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Addiction (Substance Use Disorder) Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2026; 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.