DECIDE YOUR LEGACY, LLC (NPI# 1851823686) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851823686 |
| Entity Type | Organization |
| Organization Name | DECIDE YOUR LEGACY, LLC |
| Other Organization Name | LEGACY COUNSELING, LLC |
| Practice Address |
544 S Ridge Rd Suite 106 Wichita KS 67209-2234 |
| Practice Telephone | 3163616850 |
| Mailing Telephone | 3163616850 |
| Enumeration Date | 2017-03-30 |
| Last Update Date | 2017-03-30 |
| Authorized Official Name | ADAM GRAGG (PRESIDENT) |
| Authorized Official Telephone | 3163616850 |
| Authorized Official Credential | LCMFT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Other Name | Type Code |
|---|---|
| Legacy Counseling, LLC | Other Name - Individual/Organization |
| Street Address |
544 S RIDGE RD SUITE 106 |
| City | WICHITA |
| State | KS |
| Zip Code | 67209-2234 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124634878 | Vonda Jeanne Foster | Pharmacist | 1402 S. Ridge Rd, Wichita, KS 67209 | 2020-09-18 |
| 1780290437 | Gaia R Priddle | Pharmacist | 1402 S Ridge Road, Wichita, KS 67209 | 2020-09-18 |
| 1134735889 | Thomas Allan Ruesch | Pharmacist | 1402 South Ridge Road, Wichita, KS 67209 | 2020-09-18 |
| 1619454337 | Zachary Hill | Pharmacist | 6110 W Kellogg, Wichita, KS 67209 | 2018-07-25 |
| 1922401785 | Jesse C Hidalgo Jr. | Hearing Instrument Specialist | 10318 W Maple St, Wichita, KS 67209 | 2014-10-07 |
| 1932458106 | West Wichita Assisted Living, LLC | Assisted Living Facility | 629 S. Maize Ct, Wichita, KS 67209 | 2012-09-04 |
| 1669782231 | Gracious Senior Living, LLC | Nursing Facility/Intermediate Care Facility | 551 S. Holland, Wichita, KS 67209 | 2010-10-18 |
| 1740598044 | Devin Jeanne Vrana | Chiropractor | 1247 S Tyler Rd, Wichita, KS 67209 | 2010-09-21 |
| 1881881019 | Jessica Harmon | Counselor | 501 S Turquoise St, Wichita, KS 67209 | 2007-10-02 |
| 1225246317 | Sullivan Gang Care Center | Technician | 6719 W. Douglas Circle, Wichita, KS 67209 | 2007-05-20 |
| Find all providers in zip 67209 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245855238 | Njoku Psychiatry LLC | Community/Behavioral Health | 3500 N Rock Rd Unit 1800, Wichita, KS 67226-1341 | 2020-06-15 |
| 1174090310 | Soul-utions With Cherelle Brown, LLC | Community/Behavioral Health | 11828 W Central Ave Ste 104, Wichita, KS 67212-5178 | 2018-10-25 |
| 1275012635 | Keena Deane Charles | Community/Behavioral Health | 2614 E 21st St N Ste 102, Wichita, KS 67214-2207 | 2018-08-07 |
| 1114433059 | Kansas Family Advisory Network Inc | Community/Behavioral Health | 333 E English St Ste 250, Wichita, KS 67202-4315 | 2017-12-14 |
| 1528583804 | Angela Dixon Counseling | Community/Behavioral Health | 111 S Whittier Rd # 4000b, Wichita, KS 67207-1045 | 2017-08-08 |
| 1912437278 | Chrysalis Center, Inc | Community/Behavioral Health | 1717 E 13th St N, Wichita, KS 67214-1701 | 2017-06-19 |
| 1326411455 | Agape Bhh Addiction Treatment Center | Community/Behavioral Health | 928 S Broadway St Ste M-9, Wichita, KS 67211-2229 | 2015-11-11 |
| 1427439546 | Mental Health Association of Sck | Community/Behavioral Health | 555 N Woodlawn, S 3105, Wichita, KS 67208 | 2015-06-15 |
| 1154724177 | Addiction Recovery and Resources of Wichita | Community/Behavioral Health | 946 N West St, Wichita, KS 67203-1224 | 2014-10-04 |
| 1003225947 | Wichita State University | Community/Behavioral Health | 1845 Fairmount Box 91, Wichita, KS 67260-0091 | 2014-08-05 |
| Find all providers in WICHITA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.