NPIMap

Organization Active NPI

Pax Recovery Center LLC

  • Multi-Specialty Clinic/Center
  • Louisville, KY
National Provider Identifier
1497572218
Registry record updated Jun 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
PAX RECOVERY CENTER LLC
Practice address
436 S 7TH St Ste 100
Louisville, KY 40203-1981
Phone
(714) 786-5227
NPI assigned
Sep 23, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2026

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

Authorized official

Name
Mrs. Ashlyn Patrice O'Brien
Title
Owner
Phone
(502) 208-5744

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

436 S 7TH St Ste 100
Louisville, KY 40203-1981

Mailing address

436 S 7TH St Ste 100
Louisville, KY 40203-1981
Phone (505) 881-1742

Other names 1

  • PAX RECOVERY CENTER LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250224001415 KY Part B Supplier - Clinic/Group Practice 1254851017 Receives reassigned benefits from 4 practitioners
Practice locations: Louisville, KY

National Provider Directory

National Provider Directory

Locations

801 Barret Ave
Ste 314
Louisville, KY 40204
Phone 5025852924 ext. 1116

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1727049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780358400000",
    "number": "1497572218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "436 S 7TH ST STE 100",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402031981",
            "telephone_number": "505-881-1742",
            "fax_number": "502-362-1141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436 S 7TH ST STE 100",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402031981",
            "telephone_number": "714-786-5227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAX RECOVERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-23",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A",
        "authorized_official_last_name": "O'BRIEN",
        "authorized_official_first_name": "ASHLYN",
        "authorized_official_middle_name": "PATRICE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-208-5744",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PAX RECOVERY CENTER LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PAX RECOVERY CENTER LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.