Legacy Behavioral Health Services LLC
NPI 1376474783 · Psychiatric/Mental Health Nurse Practitioner · Waldorf, MD
Legacy Behavioral Health Services LLC is a Psychiatric/Mental Health Nurse Practitioner organization in Waldorf, MD (NPI 1376474783).
Provider details
- NPI number
- 1376474783
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Becky Jacks, Owner(315) 547-0502
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
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
- 2026-05-26
- Last updated
- 2026-05-26
- Certified
- 2026-05-26
Frequently asked questions
- What is Legacy Behavioral Health Services LLC's NPI number?
- Legacy Behavioral Health Services LLC's National Provider Identifier (NPI) is 1376474783, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Legacy Behavioral Health Services LLC?
- Legacy Behavioral Health Services LLC is classified in the NPPES registry as Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Legacy Behavioral Health Services LLC located?
- Legacy Behavioral Health Services LLC's practice location on file with NPPES is 10463 Ponderosa Pine Ave, Waldorf, MD 20603-5794.
- What is Legacy Behavioral Health Services LLC's phone number?
- The practice phone number listed in the NPPES registry for Legacy Behavioral Health Services LLC is (315) 547-0502.
- Who is the authorized official for Legacy Behavioral Health Services LLC?
- The authorized official listed on Legacy Behavioral Health Services LLC's NPPES record is Becky Jacks, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Legacy Behavioral Health Services LLC's NPI active?
- Yes — Legacy Behavioral Health Services LLC's NPI (1376474783) is active in the NPPES registry as of the last update on 2026-05-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.