Active NPI
Legacy Life Care Programs
- Community/Behavioral Health Agency
- Columbia, TN
National Provider Identifier
1962746842
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 1000000011378
- Legal business name
- LEGACY LIFE CARE PROGRAMS
- Practice address
- 1324 Trotwood Ave Ste 11
Columbia, TN 38401-4750 - Phone
- (931) 626-1644
- Fax
- (931) 381-5363
- NPI assigned
- Nov 16, 2012
- 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. Linda R Smith, N.H.A. M.P.S./IMFT
- Title
- Ceo/President
- Phone
- (931) 215-2182
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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 1000000018345 | TN | |
| Clinical Social Worker | 1041C0700X | 1000000011378 | TN | |
| Community/Behavioral Health Agency | 251S00000X | 1000000011378 | TN | Primary |
| Voluntary or Charitable Agency | 251V00000X | 1000000018345 | TN | |
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X |
Addresses
Primary practice location
1324 Trotwood Ave Ste 11
Columbia, TN 38401-4750
Mailing address
100 N. Bigby Dr.
Columbia, TN 38401-4704
Phone (931) 215-2182
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437420742 | Medicaid | TN | |
| NPI 1265768428 | Other | TN | SUPERVISOR |
| Q006613 | Medicaid | TN | |
| 1962746842 | Other | TN | GROUP NPI |
| 1225450802 | Other | TN | INDIVIDUAL PROVIDER NPI |
| 1669548608 | Other | TN | SUPERVISING PROVIDER NPI |
| H445654 | Medicaid | TN | |
| Q010864 | Medicaid | TN |
Other names 1
- Legacy Life Care Programs-Brentwood
National Provider Directory
National Provider DirectoryLocations
1661 Mallory Ln
Brentwood, TN 37027
Phone (615) 335-3328
1324 Trotwood Ave
Ste 11
Columbia, TN 38401
Phone (931) 215-2182
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Columbia, TN
- NPI 1225450802
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1353024000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1756771200000",
"number": "1962746842",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 N. BIGBY DR.",
"city": "COLUMBIA",
"state": "TN",
"postal_code": "384014704",
"telephone_number": "931-215-2182",
"fax_number": "931-381-5363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1324 TROTWOOD AVE STE 11",
"city": "COLUMBIA",
"state": "TN",
"postal_code": "384014750",
"telephone_number": "931-626-1644",
"fax_number": "931-381-5363"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEGACY LIFE CARE PROGRAMS",
"organizational_subpart": "NO",
"enumeration_date": "2012-11-16",
"last_updated": "2025-09-02",
"certification_date": "2025-02-11",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "LINDA",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "CEO/PRESIDENT",
"authorized_official_telephone_number": "931-215-2182",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "N.H.A. M.P.S./IMFT"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "TN",
"license": "1000000018345",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "TN",
"license": "1000000011378",
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "TN",
"license": "1000000011378",
"primary": true
},
{
"code": "251V00000X",
"taxonomy_group": "",
"desc": "Voluntary or Charitable",
"state": "TN",
"license": "1000000018345",
"primary": false
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1437420742",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SUPERVISOR",
"identifier": "NPI 1265768428",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q006613",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NPI",
"identifier": "1962746842",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL PROVIDER NPI",
"identifier": "1225450802",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SUPERVISING PROVIDER NPI",
"identifier": "1669548608",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "H445654",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q010864",
"state": "TN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Legacy Life Care Programs-Brentwood",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Columbia, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.