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LEGACY BEHAVIORAL SOLUTIONS
NPI 1730077082
Physician Assistant - Medical in Troy, MI

Active since June 25, 2025
100 W BIG BEAVER RD STE 200, TROY, MI 48084(810) 513-9611 Get Directions Write a Review

NPPES record last updated: August 22, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Legacy Behavioral Solutions NPPES

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

LEGACY BEHAVIORAL SOLUTIONS (NPI 1730077082) is a healthcare organization registered as a medical in Troy, Michigan and active in the NPI registry since June 2025. The organization lists Jasmine Cofield, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1730077082
Entity TypeOrganization
Primary Taxonomy363AM0700X
Legal Business NameLEGACY BEHAVIORAL SOLUTIONS
Location Address100 W BIG BEAVER RD STE 200Troy, MI 48084-5283
Mailing Address100 W Big Beaver Rd Ste 200Troy, MI 48084-5283 · (734) 274-9404 · Fax (734) 822-0075
Phone(810) 513-9611
Organization SubpartNo
Authorized OfficialJasmine CofieldMedical Director · (810) 513-9611
Enumeration DateJune 25, 2025
Last NPPES UpdateAugust 22, 2025
NPPES CertifiedAugust 22, 2025
✔ NPI 1730077082 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
100 W BIG BEAVER RD STE 200, Troy, MI 48084
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Other Providers at the Same Location NPPES 20

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

NAMIRA JADE VAUGHN
Behavior Technician
100 W BIG BEAVER RD STE 200
TROY, MI 48084
Oakland County (678) 894-1116
SHARNICE CROSS
Behavior Technician
100 W BIG BEAVER RD STE 200
TROY, MI 48084
Oakland County (973) 200-1333
MARIA LYNN MYS
Behavior Technician
100 W BIG BEAVER RD STE 200
TROY, MI 48084
Oakland County (678) 894-1116
ADEALIA BOYD
Behavior Technician
100 W BIG BEAVER RD STE 200
TROY, MI 48084
Oakland County (313) 774-2928
MICHELE DEAN
Behavior Technician
100 W BIG BEAVER RD STE 200
TROY, MI 48084
Oakland County (313) 774-2928
INDERIA SHORTER
Behavior Technician
100 W BIG BEAVER RD STE 200
TROY, MI 48084
Oakland County (973) 200-1333
ALISE ROBINSON
Behavior Technician
100 W BIG BEAVER RD STE 200
TROY, MI 48084
Oakland County (678) 894-1116
COREY NIERZWICK
Behavior Technician
100 W BIG BEAVER RD STE 200
TROY, MI 48084
Oakland County (313) 774-2928

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 Behavioral Solutions's NPI number?

The NPI number for Legacy Behavioral Solutions is 1730077082. It was assigned to this organization in the NPPES registry on June 25, 2025.

Where is Legacy Behavioral Solutions located?

Legacy Behavioral Solutions is located at 100 W Big Beaver Rd Ste 200, Troy, MI 48084. The listed phone number is (810) 513-9611.

What is Legacy Behavioral Solutions's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

What insurance does Legacy Behavioral Solutions accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company list Legacy Behavioral Solutions as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Legacy Behavioral Solutions was last updated on August 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.