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LEGACY TREATMENT SERVICES, INC.
NPI 1972295319
Community/Behavioral Health in Hainesport, NJ

Active since May 24, 2023
1289 ROUTE 38 STE 203, HAINESPORT, NJ 08036(609) 267-5656(609) 265-1895 Get Directions Write a Review

NPPES record last updated: March 27, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Legacy Treatment Services, Inc. NPPES

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

LEGACY TREATMENT SERVICES, INC. (NPI 1972295319) is a healthcare organization registered as a community/behavioral health in Hainesport, New Jersey and active in the NPI registry since May 2023. The organization lists Christine Kirkbride, Ceo, as its authorized official.

NPPES Registry Identity

NPI1972295319
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameLEGACY TREATMENT SERVICES, INC.
Location Address1289 ROUTE 38 STE 203Hainesport, NJ 08036-2730
Mailing Address1289 Route 38 Ste 203Hainesport, NJ 08036-2730 · (609) 267-5656 · Fax (609) 265-1895
Phone(609) 267-5656
Fax(609) 265-1895
Organization SubpartNo
Authorized OfficialChristine KirkbrideCeo · (609) 267-5656
Enumeration DateMay 24, 2023
Last NPPES UpdateMarch 27, 2024
NPPES CertifiedMarch 27, 2024
✔ NPI 1972295319 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.
1289 ROUTE 38 STE 203, Hainesport, NJ 08036
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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

20

Medicare enrollment records show 20 clinicians reassign Medicare billing to Legacy Treatment Services, Inc., which bills Medicare for the services they deliver. Of these, 8 practice within 10 miles. 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)

Kevin Higgins, LCSW
Clinical Social Worker
NPI 1891164075
112 HIGH ST
Mount Holly, NJ 08060
(609) 267-1930
✔ PECOS✔ Accepts Medicare1.9 mi
Warren Bopp
Mental Health Counselor
NPI 1386068559
770 WOODLANE RD
Westampton, NJ 08060
(609) 267-5928
✔ PECOS✔ Accepts Medicare2.2 mi
Keri Basler, LAC
Mental Health Counselor
NPI 1215367776
795 WOODLANE RD
Westampton, NJ 08060
(609) 267-1377
✔ PECOS✔ Accepts Medicare2.3 mi
Daniel Blank, M.ED, LPC
Mental Health Counselor
NPI 1194124289
795 WOODLANE RD SUIT 301
Westampton, NJ 08060
(609) 288-3056
✔ PECOS✔ Accepts Medicare2.3 mi
Benjamin-John Gonzales, MA, NCC, LPC, LCADC
Mental Health Counselor
NPI 1659597797
795 WOODLANE RD SUITE 301
Westampton, NJ 08060
(609) 267-1377
✔ PECOS2.3 mi
Kerstin Mingee, MS, LAC
Mental Health Counselor
NPI 1295309961
795 WOODLANE ROAD, SUITE 301
Mount Holly, NJ 08060
(609) 267-1377
✔ PECOS2.3 mi
Douglas Rynkewicz, MA, EDS, LAC
Mental Health Counselor
NPI 1922764273
795 WOODLANE RD STE 300
Westampton, NJ 08060
(609) 267-1377
✔ PECOS✔ Accepts Medicare2.3 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 Medicare9.3 mi
Ursula Odimara, DNP, PMHNP-BC
Nurse Practitioner
NPI 1629490222
11082 KNIGHTS RD
Philadelphia, PA 19154
(215) 632-9040
✔ PECOS✔ Accepts Medicare11 mi
Chinyere Ubah, NP-C
Nurse Practitioner
NPI 1770907784
100 TOWNSEND AVE
Berlin, NJ 08009
(609) 534-9196
✔ PECOS✔ Accepts Medicare15 mi
Ernestina Archer, APN
Nurse Practitioner
NPI 1376064915
817 FEDERAL ST
Camden, NJ 08103
(856) 583-2496
✔ PECOS✔ Accepts Medicare16 mi
India Crawford, LCSW
Clinical Social Worker
NPI 1902141997
5000 WOODLAND AVE 2ND FL.
Philadelphia, PA 19143
(215) 726-9807
✔ PECOS✔ Accepts Medicare21 mi
Onyekachi Oyiriaru, MD
Psychiatry
NPI 1093144875
1201 DEKALB ST
Norristown, PA 19401
(610) 277-7600
✔ PECOS✔ Accepts Medicare29 mi
Satishkumar Patel, M.D.
Psychiatry
NPI 1861544405
1520 US HIGHWAY 130 STE 203
North Brunswick, NJ 08902
(732) 658-3870
✔ PECOS✔ Accepts Medicare37 mi
Nicole Ibe, R.N, APN
Nurse Practitioner
NPI 1407076045
217 BISHOP BLVD
North Brunswick, NJ 08902
(484) 542-2985
✔ PECOS✔ Accepts Medicare37 mi
Besa Tutra, APN
Nurse Practitioner
NPI 1790145761
1455 PINEWOOD BLVD
Mays Landing, NJ 08330
(609) 345-0110
✔ PECOS38 mi
Clare Malchiodi, LPC
Mental Health Counselor
NPI 1639503931
4630 THELMA AVE
Mays Landing, NJ 08330
(609) 829-2755
✔ PECOS✔ Accepts Medicare40 mi
Elizabeth Flores, LCSW
Clinical Social Worker
NPI 1962909663
802 TILTON RD STE 102
Northfield, NJ 08225
(609) 816-1769
✔ PECOS✔ Accepts Medicare44 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 Medicare45 mi
Roberta Assa, MA
Mental Health Counselor
NPI 1598810335
8931 HURON ST
Thornton, CO 80260
(303) 853-3635
✔ PECOS✔ Accepts Medicare1,595 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 1972295319. It was assigned to this organization in the NPPES registry on May 24, 2023.

Where is Legacy Treatment Services, Inc. located?

Legacy Treatment Services, Inc. is located at 1289 Route 38 Ste 203, Hainesport, NJ 08036. 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). Of these, 8 practice within 10 miles. 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.