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LEGACY HUMAN SERVICES, INC.
NPI 1881723096
Community/Behavioral Health in Henderson, NC

Active since March 05, 2007
630 S GARNETT ST, HENDERSON, NC 27536(252) 492-8699(252) 492-1172 Get Directions Write a Review

NPPES record last updated: September 10, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 10, 2021, Jan 5, 2021, Aug 22, 2020 (3 updates tracked since 2020).

About Legacy Human Services, Inc. NPPES

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

LEGACY HUMAN SERVICES, INC. (NPI 1881723096) is a healthcare organization registered as a community/behavioral health in Henderson, North Carolina and active in the NPI registry since March 2007. The organization lists Lynn Fleming, Finance Director, as its authorized official.

NPPES Registry Identity

NPI1881723096
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameLEGACY HUMAN SERVICES, INC.
Location Address630 S GARNETT STHenderson, NC 27536-4509
Mailing AddressPo Box 88Henderson, NC 27536-0088
Phone(252) 492-8699
Fax(252) 492-1172
Organization SubpartNo
Authorized OfficialLynn FlemingFinance Director · (252) 492-8699
Enumeration DateMarch 5, 2007
Last NPPES UpdateSeptember 10, 20213 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2021
✔ NPI 1881723096 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License✔ Licensed in NC · 200100176
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.
630 S GARNETT ST, Henderson, NC 27536
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Other Identifiers 1

Medicaid5900366NC

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

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Legacy Human Services, Inc., which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (3)

Benjamin Mastridge, MSN, PMHAPRN-BC
Nurse Practitioner
NPI 1942421508
78 WHEATON AVE
Youngsville, NC 27596
(919) 529-2474
✔ PECOS20 mi
Alan Cook, M.D.
Psychiatry
NPI 1578613741
820 S BOYLAN AVE
Raleigh, NC 27699
(919) 733-5540
✔ PECOS✔ Accepts Medicare40 mi
Charles Browning, MD
Psychiatry
NPI 1568672905
400 PINNER WEALD WAY ST 102
Cary, NC 27513
(919) 451-4651
✔ PECOS42 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 Human Services, Inc.'s NPI number?

The NPI number for Legacy Human Services, Inc. is 1881723096. It was assigned to this organization in the NPPES registry on March 5, 2007.

Where is Legacy Human Services, Inc. located?

Legacy Human Services, Inc. is located at 630 S Garnett St, Henderson, NC 27536. The listed phone number is (252) 492-8699.

What is Legacy Human Services, Inc.'s specialty?

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

Is Legacy Human Services, Inc. enrolled in Medicare?

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

How many clinicians bill Medicare through Legacy Human Services, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Legacy Human Services, Inc., in Nurse Practitioner and Psychiatry. 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 Legacy Human Services, Inc. was last updated on September 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.