NEW LEGACY REENTRY CORP
NPI 1265250393
Clinic/Center - Mental Health (Including Community Mental Health Center) in Louisville, KY

Q: What is New Legacy Reentry Corp's NPI number?

The NPI number for New Legacy Reentry Corp is 1265250393. It was assigned to this organization in the NPPES registry on September 27, 2024. The provider is also known as New Legacy.

Q: What is New Legacy Reentry Corp's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Active since September 27, 2024CLIA 18D2327692 · Waiver

1115 GARVIN PL, LOUISVILLE, KY 40203(502) 276-0660(502) 415-7171 Get Directions Write a Review

NPPES record last updated: April 1, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 1, 2026, Sep 27, 2024 (2 updates tracked since 2024).

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About New Legacy Reentry Corp NPPES

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

NEW LEGACY REENTRY CORP (NPI 1265250393) is a healthcare organization registered as a mental health (including community mental health center) in Louisville, Kentucky and active in the NPI registry since September 2024. The organization holds a CLIA Waiver certificate valid through July 27, 2027 and lists Gisela Dinese Nelson, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1265250393

Entity TypeOrganization

Primary Taxonomy261QM0801X

Legal Business NameNEW LEGACY REENTRY CORP

Location Address1115 GARVIN PLLouisville, KY 40203-3178

Mailing Address1115 Garvin PlLouisville, KY 40203-3178 · (502) 276-0660 · Fax (502) 415-7171

Phone(502) 276-0660

Fax(502) 415-7171

Organization SubpartNo

Authorized OfficialGisela Dinese NelsonExecutive Director · (502) 276-0660

Enumeration DateSeptember 27, 2024

Last NPPES UpdateApril 1, 20262 updates tracked since enumeration

NPPES CertifiedApril 1, 2026

✔ NPI 1265250393 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities

Taxonomy Code261QM0801X

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

Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X

Also ListedClinic/Center · Recovery CareTaxonomy 261QR0800X

1115 GARVIN PL, Louisville, KY 40203

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Other Names 1

Other NameNew Legacy

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 18D2327692

New Legacy Reentry Corporation · Louisville, KY

Active · expires Jul 27, 2027

CLIA Number18D2327692

Laboratory TypeAncillary Testing Site In Health Care Center

Certificate Effective DateJuly 28, 2025

Certificate Expiration DateJuly 27, 2027

Laboratory DirectorMs. Gisela Nelson

Laboratory Phone(502) 276-0660

Laboratory LocationNew Legacy Reentry Corporation1115 Garvin Place, Louisville, KY 40203

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JESSIE SIDES

Counselor (Addiction (Substance Use Disorder))

1115 GARVIN PL
LOUISVILLE, KY 40203

Jefferson County (502) 416-8783

ROXANNE YATES TCADC

Counselor (Addiction (Substance Use Disorder))

1115 GARVIN PL
LOUISVILLE, KY 40203

Jefferson County (502) 910-0534

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 New Legacy Reentry Corp's NPI number?

The NPI number for New Legacy Reentry Corp is 1265250393. It was assigned to this organization in the NPPES registry on September 27, 2024. The provider is also known as New Legacy.

Where is New Legacy Reentry Corp located?

New Legacy Reentry Corp is located at 1115 Garvin Pl, Louisville, KY 40203. The listed phone number is (502) 276-0660.

What is New Legacy Reentry Corp's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Does New Legacy Reentry Corp hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D2327692) is associated with this NPI, valid through July 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for New Legacy Reentry Corp was last updated on April 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.