Legacy Clinical Consultants, LLC
NPI 1124092911 · Clinical Neuropsychologist · Lisle, IL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Legacy Clinical Consultants, LLC is a Clinical Neuropsychologist organization in Lisle, IL (NPI 1124092911).
Provider details
- NPI number
- 1124092911
- Entity type
- Organization
- Primary specialty
- Clinical NeuropsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Jeffrey Vanmeter, Executive Director(877) 443-7030
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Clinical Child & Adolescent Psychologist103TC2200X
Behavioral Health & Social Service Providers
- Family Psychologist103TF0000X
Behavioral Health & Social Service Providers
- Social Worker104100000X
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
- Marriage & Family Therapist106H00000X
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 13717 S Route 30 Ste 159Plainfield, IL 60544-5561Phone: (815) 577-3666Fax: (815) 577-2785
Registry dates
- Enumerated
- 2006-02-16
- Last updated
- 2024-04-05
- Certified
- 2024-04-05
Frequently asked questions
- What is Legacy Clinical Consultants, LLC's NPI number?
- Legacy Clinical Consultants, LLC's National Provider Identifier (NPI) is 1124092911, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Legacy Clinical Consultants, LLC?
- Legacy Clinical Consultants, LLC is classified in the NPPES registry as Clinical Neuropsychologist (Behavioral Health & Social Service Providers).
- Where is Legacy Clinical Consultants, LLC located?
- Legacy Clinical Consultants, LLC's practice location on file with NPPES is 3033 Ogden Ave Ste 200, Lisle, IL 60532-1976.
- What is Legacy Clinical Consultants, LLC's phone number?
- The practice phone number listed in the NPPES registry for Legacy Clinical Consultants, LLC is (877) 443-7030.
- Does Legacy Clinical Consultants, LLC accept Medicare?
- Legacy Clinical Consultants, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Legacy Clinical Consultants, LLC?
- The authorized official listed on Legacy Clinical Consultants, LLC's NPPES record is Jeffrey Vanmeter, Executive Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Legacy Clinical Consultants, LLC's NPI active?
- Yes — Legacy Clinical Consultants, LLC's NPI (1124092911) is active in the NPPES registry as of the last update on 2024-04-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.