Organization Active NPI

Legacy Life Care Programs

  • Community/Behavioral Health Agency
  • Columbia, TN
National Provider Identifier
1962746842
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1000000011378 Issued in TN
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

Updated by the provider on Sep 2, 2025

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./IMFTNPI 1225450802
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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 1000000018345 TN
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1437420742MedicaidTN
NPI 1265768428OtherTNSUPERVISOR
Q006613MedicaidTN
1962746842OtherTNGROUP NPI
1225450802OtherTNINDIVIDUAL PROVIDER NPI
1669548608OtherTNSUPERVISING PROVIDER NPI
H445654MedicaidTN
Q010864MedicaidTN

Other names 1

  • Legacy Life Care Programs-Brentwood Other name

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.