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LEGACY ALLIANCE OUTREACH
NPI 1619708229
Peer Specialist in Modesto, CA

Active since August 13, 2024

NPPES record last updated: August 13, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Legacy Alliance Outreach NPPES

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

LEGACY ALLIANCE OUTREACH (NPI 1619708229) is a healthcare organization registered as a peer specialist in Modesto, California and active in the NPI registry since August 2024. The organization lists Alexander Bequette, Program Director, as its authorized official.

NPPES Registry Identity

NPI1619708229
Entity TypeOrganization
Primary Taxonomy175T00000X
Legal Business NameLEGACY ALLIANCE OUTREACH
Location Address820 H STModesto, CA 95354-3419
Mailing Address2601 Oakdale Rd Ste 154Modesto, CA 95355-2256 · (209) 480-6199
Phone(209) 480-6199
Organization SubpartNo
Authorized OfficialAlexander BequetteProgram Director · (925) 784-0386
Enumeration DateAugust 13, 2024
NPPES CertifiedAugust 13, 2024
✔ NPI 1619708229 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
820 H ST, Modesto, CA 95354
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.

LEGACY ALLIANCE OUTREACH
Lodging
820 H ST
MODESTO, CA 95354
Stanislaus County (209) 480-6199
LEGACY ALLIANCE OUTREACH
Case Manager/Care Coordinator
820 H ST
MODESTO, CA 95354
Stanislaus County (209) 480-6199

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 Alliance Outreach's NPI number?

The NPI number for Legacy Alliance Outreach is 1619708229. It was assigned to this organization in the NPPES registry on August 13, 2024.

Where is Legacy Alliance Outreach located?

Legacy Alliance Outreach is located at 820 H St, Modesto, CA 95354. The listed phone number is (209) 480-6199.

What is Legacy Alliance Outreach's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Legacy Alliance Outreach was last updated on August 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.