2022 LLC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

2022 LLC

Doing business as

Arch to Freedom Recovery Center

Practice address

1229 Arcade Ave
Louisville, KY 40215-2203

Phone

(502) 384-0939

Fax

(502) 384-6008

NPI assigned

Jul 10, 2024

Last updated

May 30, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Xavier Giles

Title

Owner

Phone

(502) 384-0939

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• Arch to Freedom Recovery Center Doing business as

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Arch to Freedom Recovery Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• 2022 LLC

  dba Arch to Freedom Recovery Center

  • Family Nurse Practitioner
  • Louisville, KY
  • NPI 1821809153
  NPD tax ID
• Arch to Freedom Recovery Center

  • Substance Abuse Rehabilitation Facility
  • Louisville, KY
  • NPI 1619863891
  NPD tax ID

Locations

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• 2022 LLC

  dba Arch to Freedom Recovery Center

  • Family Nurse Practitioner
  • Louisville, KY
  • NPI 1821809153
  NPPES parent name
• Arch to Freedom Recovery Center

  • Substance Abuse Rehabilitation Facility
  • Louisville, KY
  • NPI 1619863891
  NPPES parent name

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sunni Aster, LCSW

  • Clinical Social Worker
  • Louisville, KY
  • NPI 1629849286
  Medicare reassignment NPD
• Donna Marie Russell, LCSW

  • Clinical Social Worker
  • Louisville, KY
  • NPI 1265112858
  Medicare reassignment NPD
• Lynne Lanham

  • Primary Care Nurse Practitioner
  • Louisville, KY
  • NPI 1285227728
  NPD (past)
• Tonjalia Laura Tyus, APRN FNP-C

  • Family Nurse Practitioner
  • Louisville, KY
  • NPI 1639942022

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1720569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748563200000",
    "number": "1326885013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4104 SMARTY JONES DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402146530",
            "telephone_number": "502-759-6281",
            "fax_number": "502-772-1533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1229 ARCADE AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402152203",
            "telephone_number": "502-384-0939",
            "fax_number": "502-384-6008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "2022 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-10",
        "last_updated": "2025-05-30",
        "certification_date": "2025-05-30",
        "status": "A",
        "authorized_official_last_name": "GILES",
        "authorized_official_first_name": "XAVIER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-384-0939"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100994100",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arch to Freedom Recovery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Addiction (Substance Use Disorder) Counselor in Louisville, KY
• Providers in Louisville, KY by specialty
• Addiction (Substance Use Disorder) Counselor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.