Willenium Enterprise Foundation

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

WILLENIUM ENTERPRISE FOUNDATION

Practice address

3401 Dixie Hwy
Louisville, KY 40216-5015

Phone

(502) 615-6542

Fax

(502) 331-6062

NPI assigned

Dec 4, 2023

Organization subpart

No

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

Authorized official

Name

Nakristia Pitts, LCSWNPI 1962972810

Title

Owner

Phone

(502) 615-6542

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Locations

Practitioners 3

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

• Nakristia Alayne Pitts, LCSW

  • Clinical Social Worker
  • Louisville, KY
  • NPI 1962972810
  Medicare reassignment NPD Authorized official
• Diannah Catherine Nunn, PSS

  • Peer Specialist
  • Louisville, KY
  • NPI 1316836760
  NPD
• Anquinette Willahelmenia Ward

  • Mental Health Counselor
  • Louisville, KY
  • NPI 1215742416
  NPD

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

{
    "created_epoch": "1701648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701648000000",
    "number": "1578339271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6915 ROCK HOLLOW DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402192416",
            "telephone_number": "502-615-6542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 DIXIE HWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402165015",
            "telephone_number": "502-615-6542",
            "fax_number": "502-331-6062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLENIUM ENTERPRISE FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-04",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A",
        "authorized_official_last_name": "PITTS",
        "authorized_official_first_name": "NAKRISTIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-615-6542",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Wilkinson, LMFT
• Katie Sias Wilkinson, MS, BCBA, LBA
• Tyler Wilkinson, DO
• Kelly L Willbur, ARNP
• Benjamin Willcut, MD
• Amber Willett, OTR/L
• Amy Louise Willett
• Kari Lynn Willett, MA APA, BEHAVIOR SPC
• Olga A Willett, MD
• Renee Summers Willett, RPH

• 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 Dec 4, 2023; 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.