Willis Paige, CSA

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

1220450 Issued in KY

Practice address

1169 Eastern Pkwy Ste 1124
Louisville, KY 40217-1462

Phone

(502) 576-6643

NPI assigned

Mar 14, 2025

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1741910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741910400000",
    "number": "1093515603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1169 EASTERN PKWY STE 1124",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402171462",
            "telephone_number": "502-576-6643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1169 EASTERN PKWY STE 1124",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402171462",
            "telephone_number": "502-576-6643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAIGE",
        "first_name": "WILLIS",
        "credential": "CSA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-03-14",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "KY",
            "license": "1220450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holly Pahler
• Mehak Pahwa, MD PSYCHIATRY
• Siddharth Pahwa
• Carlton Damon Paige, M.D.
• Jerricca Darlene Paige, RBT
• Rejith Paily, M.D.
• Romith Paily
• Pain and Performance Solutions LLC
• Pain and Wellness Institute of Kentucky LLC
• Pain Care Surgery of Louisville, LLC

• Community/Behavioral Health Agency in Louisville, KY
• Providers in Louisville, KY by specialty
• Community/Behavioral Health Agency in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.