New Legacy Behavioral Health Professional Clinical Counselor Inc
NPI 1336004746 · Community/Behavioral Health Agency · Moreno Valley, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
New Legacy Behavioral Health Professional Clinical Counselor Inc is a Community/Behavioral Health Agency organization in Moreno Valley, CA (NPI 1336004746).
Provider details
- NPI number
- 1336004746
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Jasmine Mims, Ceo(661) 742-4026
Specialties & taxonomies
Agencies
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
Registry dates
- Enumerated
- 2025-12-17
- Last updated
- 2026-02-23
- Certified
- 2026-02-23
Frequently asked questions
- What is New Legacy Behavioral Health Professional Clinical Counselor Inc's NPI number?
- New Legacy Behavioral Health Professional Clinical Counselor Inc's National Provider Identifier (NPI) is 1336004746, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is New Legacy Behavioral Health Professional Clinical Counselor Inc?
- New Legacy Behavioral Health Professional Clinical Counselor Inc is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is New Legacy Behavioral Health Professional Clinical Counselor Inc located?
- New Legacy Behavioral Health Professional Clinical Counselor Inc's practice location on file with NPPES is 24904 Lear Ln, Moreno Valley, CA 92553-5875.
- What is New Legacy Behavioral Health Professional Clinical Counselor Inc's phone number?
- The practice phone number listed in the NPPES registry for New Legacy Behavioral Health Professional Clinical Counselor Inc is (661) 742-4026.
- Does New Legacy Behavioral Health Professional Clinical Counselor Inc accept Medicare?
- New Legacy Behavioral Health Professional Clinical Counselor Inc 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 New Legacy Behavioral Health Professional Clinical Counselor Inc?
- The authorized official listed on New Legacy Behavioral Health Professional Clinical Counselor Inc's NPPES record is Jasmine Mims, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is New Legacy Behavioral Health Professional Clinical Counselor Inc's NPI active?
- Yes — New Legacy Behavioral Health Professional Clinical Counselor Inc's NPI (1336004746) is active in the NPPES registry as of the last update on 2026-02-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.