NEW LEGACY BEHAVIORAL HEALTH PROFESSIONAL CLINICAL COUNSELOR INC
NPI 1336004746
Community/Behavioral Health in Moreno Valley, CA

Q: What is New Legacy Behavioral Health Professional Clinical Counselor Inc's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Active since December 17, 2025

24904 LEAR LN, MORENO VALLEY, CA 92553(661) 742-4026 Get Directions Write a Review

NPPES record last updated: February 23, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About New Legacy Behavioral Health Professional Clinical Counselor Inc NPPES

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

NEW LEGACY BEHAVIORAL HEALTH PROFESSIONAL CLINICAL COUNSELOR INC (NPI 1336004746) is a healthcare organization registered as a community/behavioral health in Moreno Valley, California and active in the NPI registry since December 2025. The organization lists Jasmine Mims, Ceo, as its authorized official.

NPPES Registry Identity

NPI1336004746

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameNEW LEGACY BEHAVIORAL HEALTH PROFESSIONAL CLINICAL COUNSELOR INC

Location Address24904 LEAR LNMoreno Valley, CA 92553-5875

Mailing Address24904 Lear LnMoreno Valley, CA 92553-5875 · (661) 742-4026

Phone(661) 742-4026

Organization SubpartNo

Authorized OfficialJasmine MimsCeo · (661) 742-4026

Enumeration DateDecember 17, 2025

Last NPPES UpdateFebruary 23, 2026

NPPES CertifiedFebruary 23, 2026

✔ NPI 1336004746 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

24904 LEAR LN, Moreno Valley, CA 92553

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

New Legacy Behavioral Health Professional Clinical Counselor Inc 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 New Legacy Behavioral Health Professional Clinical Counselor Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jasmine Mims

Mental Health Counselor

NPI 1205425782

24904 LEAR LN
Moreno Valley, CA 92553

(661) 742-4026

✔ 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 New Legacy Behavioral Health Professional Clinical Counselor Inc's NPI number?

The NPI number for New Legacy Behavioral Health Professional Clinical Counselor Inc is 1336004746. It was assigned to this organization in the NPPES registry on December 17, 2025.

Where is New Legacy Behavioral Health Professional Clinical Counselor Inc located?

New Legacy Behavioral Health Professional Clinical Counselor Inc is located at 24904 Lear Ln, Moreno Valley, CA 92553. The listed phone number is (661) 742-4026.

What is New Legacy Behavioral Health Professional Clinical Counselor Inc's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Is New Legacy Behavioral Health Professional Clinical Counselor Inc enrolled in Medicare?

Yes. New Legacy Behavioral Health Professional Clinical Counselor Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through New Legacy Behavioral Health Professional Clinical Counselor Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to New Legacy Behavioral Health Professional Clinical Counselor 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for New Legacy Behavioral Health Professional Clinical Counselor Inc was last updated on February 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.