LEGACY CLINICAL CONSULTANTS, LLC
NPI 1124092911
Clinical Neuropsychologist in Lisle, IL

Q: What is Legacy Clinical Consultants, LLC's NPI number?

The NPI number for Legacy Clinical Consultants, LLC is 1124092911. It was assigned to this organization in the NPPES registry on February 16, 2006.

Q: What is Legacy Clinical Consultants, LLC's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Active since February 16, 2006

3033 OGDEN AVE STE 200, LISLE, IL 60532(877) 443-7030 Get Directions Write a Review

NPPES record last updated: April 5, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 5, 2024, Aug 22, 2020 (2 updates tracked since 2020).

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About Legacy Clinical Consultants, Llc NPPES

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

LEGACY CLINICAL CONSULTANTS, LLC (NPI 1124092911) is a healthcare organization registered as a clinical neuropsychologist in Lisle, Illinois and active in the NPI registry since February 2006. The organization maintains a secondary practice location in Plainfield and lists Jeffrey Brian Vanmeter, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1124092911

Entity TypeOrganization

Primary Taxonomy103G00000X

Legal Business NameLEGACY CLINICAL CONSULTANTS, LLC

Location Address3033 OGDEN AVE STE 200Lisle, IL 60532-1976

Mailing Address13300 S Route 59, Suite B-7Plainfield, IL 60585-9847 · (815) 577-3666 · Fax (815) 577-2785

Phone(877) 443-7030

Organization SubpartNo

Authorized OfficialJeffrey Brian VanmeterExecutive Director · (877) 443-7030

Enumeration DateFebruary 16, 2006

Last NPPES UpdateApril 5, 20242 updates tracked since enumeration

NPPES CertifiedApril 5, 2024

✔ NPI 1124092911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 14

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers

Taxonomy Code103G00000X

Definition

A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

Also ListedCounselorTaxonomy 101Y00000X

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X

Also ListedPsychologistTaxonomy 103T00000X

Also ListedPsychologist · Adult Development & AgingTaxonomy 103TA0700X

Also ListedPsychologist · Cognitive & BehavioralTaxonomy 103TB0200X

Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 071.006312 (IL)

Also ListedPsychologist · Clinical Child & AdolescentTaxonomy 103TC2200X

Also ListedPsychologist · FamilyTaxonomy 103TF0000X

Also ListedSocial WorkerTaxonomy 104100000X

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 149.008075 (IL)

Also ListedMarriage & Family TherapistTaxonomy 106H00000X

3033 OGDEN AVE STE 200, Lisle, IL 60532

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Secondary Practice Location 1

Location 113717 S Route 30 Ste 159Plainfield, IL 60544-5561 · Phone (815) 577-3666 ext. 223 · Fax (815) 577-2785

Other Identifiers 1

Other9932120IL · Blue Cross Blue Shield

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

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 Clinical Consultants, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Legacy Clinical Consultants, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jeffrey Vanmeter, PSYD

Clinical Psychologist

NPI 1336367606

3033 OGDEN AVE STE 200
Lisle, IL 60532

(877) 443-7030

✔ PECOS✔ Accepts MedicareSame address

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 Clinical Consultants, LLC's NPI number?

The NPI number for Legacy Clinical Consultants, LLC is 1124092911. It was assigned to this organization in the NPPES registry on February 16, 2006.

Where is Legacy Clinical Consultants, LLC located?

Legacy Clinical Consultants, LLC is located at 3033 Ogden Ave Ste 200, Lisle, IL 60532. The listed phone number is (877) 443-7030.

What is Legacy Clinical Consultants, LLC's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is Legacy Clinical Consultants, LLC enrolled in Medicare?

Yes. Legacy Clinical Consultants, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Legacy Clinical Consultants, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Legacy Clinical Consultants, 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. 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 Clinical Consultants, LLC was last updated on April 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.