LEGACY TREATMENT SERVICES, INC
NPI 1457971269
Community/Behavioral Health in Mannington, NJ

Q: What is Legacy Treatment Services, Inc's NPI number?

The NPI number for Legacy Treatment Services, Inc is 1457971269. It was assigned to this organization in the NPPES registry on April 22, 2020.

Q: What is Legacy Treatment Services, Inc's specialty?

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

Active since April 22, 2020

330 SALEM WOODSTOWN RD, MANNINGTON, NJ 08079(609) 267-5656 Get Directions Write a Review

NPPES record last updated: March 27, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Legacy Treatment Services, Inc NPPES

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

LEGACY TREATMENT SERVICES, INC (NPI 1457971269) is a healthcare organization registered as a community/behavioral health in Mannington, New Jersey and active in the NPI registry since April 2020. The organization lists Christine Kirkbride, Ceo, as its authorized official.

NPPES Registry Identity

NPI1457971269

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameLEGACY TREATMENT SERVICES, INC

Location Address330 SALEM WOODSTOWN RDMannington, NJ 08079-2034

Mailing Address1289 Route 38 Ste 203Hainesport, NJ 08036-2730 · (609) 267-5656

Phone(609) 267-5656

Organization SubpartNo

Authorized OfficialChristine KirkbrideCeo · (609) 267-5656

Enumeration DateApril 22, 2020

Last NPPES UpdateMarch 27, 2024

NPPES CertifiedMarch 27, 2024

✔ NPI 1457971269 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.

330 SALEM WOODSTOWN RD, Mannington, NJ 08079

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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)

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

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 20 clinicians reassign Medicare billing to Legacy Treatment Services, Inc, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians by Medicare Specialty 5

Mental Health Counselor9

Nurse Practitioner5

Clinical Social Worker3

Psychiatry2

Certified Clinical Nurse Specialist (CNS)1

Clinicians, nearest first (20)

India Crawford, LCSW

Clinical Social Worker

NPI 1902141997

5000 WOODLAND AVE 2ND FL.
Philadelphia, PA 19143

(215) 726-9807

✔ PECOS✔ Accepts Medicare27 mi

Ernestina Archer, APN

Nurse Practitioner

NPI 1376064915

817 FEDERAL ST
Camden, NJ 08103

(856) 583-2496

✔ PECOS✔ Accepts Medicare30 mi

Chinyere Ubah, NP-C

Nurse Practitioner

NPI 1770907784

100 TOWNSEND AVE
Berlin, NJ 08009

(609) 534-9196

✔ PECOS✔ Accepts Medicare31 mi

Jennifer Morrison, LPC, NCC, ACS

Mental Health Counselor

NPI 1881055192

1 KEYSTONE AVE SUITE 100
Cherry Hill, NJ 08003

(856) 685-9046

✔ PECOS✔ Accepts Medicare33 mi

Onyekachi Oyiriaru, MD

Psychiatry

NPI 1093144875

1201 DEKALB ST
Norristown, PA 19401

(610) 277-7600

✔ PECOS✔ Accepts Medicare37 mi

Besa Tutra, APN

Nurse Practitioner

NPI 1790145761

1455 PINEWOOD BLVD
Mays Landing, NJ 08330

(609) 345-0110

✔ PECOS41 mi

Ursula Odimara, DNP, PMHNP-BC

Nurse Practitioner

NPI 1629490222

11082 KNIGHTS RD
Philadelphia, PA 19154

(215) 632-9040

✔ PECOS✔ Accepts Medicare42 mi

Clare Malchiodi, LPC

Mental Health Counselor

NPI 1639503931

4630 THELMA AVE
Mays Landing, NJ 08330

(609) 829-2755

✔ PECOS✔ Accepts Medicare42 mi

Warren Bopp

Mental Health Counselor

NPI 1386068559

770 WOODLANE RD
Westampton, NJ 08060

(609) 267-5928

✔ PECOS✔ Accepts Medicare44 mi

Kevin Higgins, LCSW

Clinical Social Worker

NPI 1891164075

112 HIGH ST
Mount Holly, NJ 08060

(609) 267-1930

✔ PECOS✔ Accepts Medicare45 mi

Keri Basler, LAC

Mental Health Counselor

NPI 1215367776

795 WOODLANE RD
Westampton, NJ 08060

(609) 267-1377

✔ PECOS✔ Accepts Medicare45 mi

Daniel Blank, M.ED, LPC

Mental Health Counselor

NPI 1194124289

795 WOODLANE RD SUIT 301
Westampton, NJ 08060

(609) 288-3056

✔ PECOS✔ Accepts Medicare45 mi

Benjamin-John Gonzales, MA, NCC, LPC, LCADC

Mental Health Counselor

NPI 1659597797

795 WOODLANE RD SUITE 301
Westampton, NJ 08060

(609) 267-1377

✔ PECOS45 mi

Kerstin Mingee, MS, LAC

Mental Health Counselor

NPI 1295309961

795 WOODLANE ROAD, SUITE 301
Mount Holly, NJ 08060

(609) 267-1377

✔ PECOS45 mi

Douglas Rynkewicz, MA, EDS, LAC

Mental Health Counselor

NPI 1922764273

795 WOODLANE RD STE 300
Westampton, NJ 08060

(609) 267-1377

✔ PECOS✔ Accepts Medicare45 mi

Diane Goldblum Graff, MSN, APN, BC

Certified Clinical Nurse Specialist (CNS)

NPI 1154449734

222 NEW RD STE 405
Linwood, NJ 08221

(609) 412-1717

✔ PECOS✔ Accepts Medicare50 mi

Elizabeth Flores, LCSW

Clinical Social Worker

NPI 1962909663

802 TILTON RD STE 102
Northfield, NJ 08225

(609) 816-1769

✔ PECOS✔ Accepts Medicare50 mi

Satishkumar Patel, M.D.

Psychiatry

NPI 1861544405

1520 US HIGHWAY 130 STE 203
North Brunswick, NJ 08902

(732) 658-3870

✔ PECOS✔ Accepts Medicare78 mi

Nicole Ibe, R.N, APN

Nurse Practitioner

NPI 1407076045

217 BISHOP BLVD
North Brunswick, NJ 08902

(484) 542-2985

✔ PECOS✔ Accepts Medicare78 mi

Roberta Assa, MA

Mental Health Counselor

NPI 1598810335

8931 HURON ST
Thornton, CO 80260

(303) 853-3635

✔ PECOS✔ Accepts Medicare1,567 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 Treatment Services, Inc's NPI number?

The NPI number for Legacy Treatment Services, Inc is 1457971269. It was assigned to this organization in the NPPES registry on April 22, 2020.

Where is Legacy Treatment Services, Inc located?

Legacy Treatment Services, Inc is located at 330 Salem Woodstown Rd, Mannington, NJ 08079. The listed phone number is (609) 267-5656.

What is Legacy Treatment Services, Inc's specialty?

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

Is Legacy Treatment Services, Inc enrolled in Medicare?

Yes. Legacy Treatment Services, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Legacy Treatment Services, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 20 clinicians in 5 Medicare specialties reassign their Medicare billing to Legacy Treatment Services, 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. The largest specialties are Mental Health Counselor (9), Nurse Practitioner (5) and Clinical Social Worker (3). 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 Treatment Services, Inc was last updated on March 27, 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.