KA LEGACY INC
NPI 1174396980
Counselor - Professional in Manila, AR

Active since November 02, 2023
103 W FLEEMAN, MANILA, AR 72442(870) 919-6585 Get Directions Write a Review

NPPES record last updated: July 15, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 15, 2026, Nov 2, 2023 (2 updates tracked since 2023).

About Ka Legacy Inc NPPES

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

KA LEGACY INC (NPI 1174396980), doing business as Legacy Online Counseling And Consulting Llc, is a healthcare organization registered as a professional in Manila, Arkansas and active in the NPI registry since November 2023. The organization lists Tonya Tatroe, Ceo, as its authorized official.

NPPES Registry Identity

NPI1174396980
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameKA LEGACY INC
Location Address103 W FLEEMANManila, AR 72442
Mailing Address103 W FleemanManila, AR 72442-9187 · (870) 919-6585
Organization SubpartNo
Authorized OfficialTonya TatroeCeo · (870) 919-6585
Enumeration DateNovember 2, 2023
Last NPPES UpdateJuly 15, 20262 updates tracked since enumeration
NPPES CertifiedJuly 15, 2026
✔ NPI 1174396980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
103 W FLEEMAN, Manila, AR 72442

Other Names 1

Doing Business AsLegacy Online Counseling And Consulting Llc

Other Identifiers 3

Medicaid333776744AR
Other429713402AR · United Health
Other429713402AR · Bcbs

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 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)

Ka Legacy Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Ka Legacy Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Mental Health Counselor
NPI 1619196821
103 W FLEEMAN
Manila, AR 72442
(870) 919-6585
✔ PECOSSame address
Mental Health Counselor
NPI 1073617668
1117 TRICE ST
Shannon, MS 38868
(662) 231-3532
✔ PECOS147 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 Ka Legacy Inc's NPI number?

The NPI number for Ka Legacy Inc is 1174396980. It was assigned to this organization in the NPPES registry on November 2, 2023. The provider is doing business as Legacy Online Counseling and Consulting LLC.

Where is Ka Legacy Inc located?

Ka Legacy Inc is located at 103 W Fleeman, Manila, AR 72442. The listed phone number is (870) 919-6585.

What is Ka Legacy Inc's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Ka Legacy Inc enrolled in Medicare?

Yes. Ka Legacy Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ka Legacy Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Mental Health Counselor, reassign their Medicare billing to Ka Legacy Inc. 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Ka Legacy Inc was last updated on July 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.