Decide Your Legacy, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

DECIDE YOUR LEGACY, LLC

Practice address

544 S Ridge Rd
Suite 106
Wichita, KS 67209-2234

Phone

(316) 361-6850

NPI assigned

Mar 30, 2017

Organization subpart

No

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

Authorized official

Name

Adam Gragg, LCMFT

Title

President

Phone

(316) 361-6850

Specialties & licenses 1

Addresses

Other names 1

• Legacy Counseling, LLC Other name

Locations

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

{
    "created_epoch": "1490832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490832000000",
    "number": "1851823686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "544 S RIDGE RD",
            "address_2": "SUITE 106",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672092234",
            "telephone_number": "316-361-6850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "544 S RIDGE RD",
            "address_2": "SUITE 106",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672092234",
            "telephone_number": "316-361-6850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DECIDE YOUR LEGACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-30",
        "last_updated": "2017-03-30",
        "status": "A",
        "authorized_official_last_name": "GRAGG",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "316-361-6850",
        "authorized_official_credential": "LCMFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Legacy Counseling, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Amy Debbrecht, NP
• Jessica Leigh Debellis, RN
• Katrina Deboard
• Deborah L Miller DC PA
• Brian L Debrot, MD
• Howard Christopher Deck, P.T.
• Melissa Deckard, RN
• Andrew Declerk, MD
• Kielan Decou
• Dedicated Physicians Group of Kansas LLC

• Community/Behavioral Health Agency in Wichita, KS
• Providers in Wichita, KS by specialty
• Community/Behavioral Health Agency in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2017; 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.