LEGACY HEALTH AND WELLNESS, LLC
NPI 1003507500
Clinic/Center - Rehabilitation, Substance Use Disorder in Las Vegas, NV

Active since May 16, 2023
2921 N TENAYA WAY STE 128, LAS VEGAS, NV 89128(702) 978-8000 Get Directions Write a Review

NPPES record last updated: September 20, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Legacy Health And Wellness, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LEGACY HEALTH AND WELLNESS, LLC (NPI 1003507500) is a healthcare organization registered as a rehabilitation, substance use disorder in Las Vegas, Nevada and active in the NPI registry since May 2023. The organization lists Abby Grossa, Cfo, as its authorized official.

NPPES Registry Identity

NPI1003507500
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameLEGACY HEALTH AND WELLNESS, LLC
Location Address2921 N TENAYA WAY STE 128Las Vegas, NV 89128-1411
Mailing Address2921 N Tenaya Way Ste 128Las Vegas, NV 89128-1411 · (702) 978-8000
Organization SubpartYes
Authorized OfficialAbby GrossaCfo · (702) 395-5011
Enumeration DateMay 16, 2023
Last NPPES UpdateSeptember 20, 2023
NPPES CertifiedSeptember 20, 2023
✔ NPI 1003507500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
Also ListedSubstance Abuse Rehabilitation FacilityTaxonomy 324500000X
2921 N TENAYA WAY STE 128, Las Vegas, NV 89128

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Legacy Health And Wellness, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

17

Medicare enrollment records show 17 clinicians reassign Medicare billing to Legacy Health And Wellness, LLC, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 12 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 5

Clinical Social Worker5
Marriage and Family Therapist5
Mental Health Counselor4
Cpc Clinical Professional Counselor2
Clinical Psychologist1

Clinicians, nearest first (17)

Marriage and Family Therapist
NPI 1164766101
2921 N TENAYA WAY
Las Vegas, NV 89128
(702) 942-1774
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1053976233
2921 N TENAYA WAY
Las Vegas, NV 89128
(702) 942-1774
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1518197185
2921 NORTH TENAYA WAY
Las Vegas, NV 89128
(702) 942-1774
✔ PECOSSame address
Clinical Social Worker
NPI 1083969885
2921 N TENAYA WAY
Las Vegas, NV 89128
(702) 942-1774
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1447811120
2921 N TENAYA WAY
Las Vegas, NV 89128
(702) 942-1774
✔ PECOSSame address
Clinical Psychologist
NPI 1639342140
3321 N BUFFALO DR STE 225
Las Vegas, NV 89129
(702) 816-0226
✔ PECOS0.7 mi
Cpc Clinical Professional Counselor
NPI 1235532953
8416 OYSTER DR
Las Vegas, NV 89128
(702) 813-8204
✔ PECOS✔ Accepts Medicare1.5 mi
Marriage and Family Therapist
NPI 1861771180
7004 GOLDEN DESERT AVE
Las Vegas, NV 89129
(702) 374-9478
✔ PECOS✔ Accepts Medicare2.1 mi
Marriage and Family Therapist
NPI 1104251099
911 NORTH BUFFALO DRIVE SUITE #213
Las Vegas, NV 89128
(702) 942-1774
✔ PECOS✔ Accepts Medicare2.3 mi
Cpc Clinical Professional Counselor
NPI 1306252762
3468 BLUE HEATHER DR
Las Vegas, NV 89129
(702) 812-9268
✔ PECOS✔ Accepts Medicare2.5 mi
Clinical Social Worker
NPI 1376973768
2820 W CHARLESTON BLVD # C23
Las Vegas, NV 89102
(702) 437-4673
✔ PECOS✔ Accepts Medicare5.4 mi
Clinical Social Worker
NPI 1841636008
401 S MARTIN LUTHER KING BLVD
Las Vegas, NV 89106
(170) 238-5333
✔ PECOS5.7 mi
Marriage and Family Therapist
NPI 1396121257
6889 S EASTERN AVE
Las Vegas, NV 89119
(702) 434-1200
✔ PECOS✔ Accepts Medicare13 mi
Marriage and Family Therapist
NPI 1891231809
2501 N GREEN VALLEY PKWY BUILDING D SUITE 116 D
Henderson, NV 89014
(702) 605-2766
✔ PECOS✔ Accepts Medicare14 mi
Mental Health Counselor
NPI 1205956885
15095 AMARGOSA RD STE. 201
Victorville, CA 92394
(760) 245-4695
✔ PECOS165 mi
Clinical Social Worker
NPI 1275837338
867 N FAIR OAKS AVE
Pasadena, CA 91103
(661) 860-5002
✔ PECOS✔ Accepts Medicare217 mi
Clinical Social Worker
NPI 1346581295
775 FLEISCHMANN WAY
Carson City, NV 89703
(775) 224-8896
✔ PECOS✔ Accepts Medicare321 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Legacy Health And Wellness, LLC's NPI number?

The NPI number for Legacy Health And Wellness, LLC is 1003507500. It was assigned to this organization in the NPPES registry on May 16, 2023.

Where is Legacy Health And Wellness, LLC located?

Legacy Health And Wellness, LLC is located at 2921 N Tenaya Way Ste 128, Las Vegas, NV 89128. The listed phone number is (702) 978-8000.

What is Legacy Health And Wellness, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

Is Legacy Health And Wellness, LLC enrolled in Medicare?

Yes. Legacy Health And Wellness, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Legacy Health And Wellness, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 17 clinicians in 5 Medicare specialties reassign their Medicare billing to Legacy Health And Wellness, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Clinical Social Worker (5), Marriage and Family Therapist (5) and Mental Health Counselor (4). Of these, 5 practice at this address and 12 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Legacy Health And Wellness, LLC was last updated on September 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.