Organization Active NPI

Anna Behavioral Services, LLC

  • Behavior Analyst
  • Crestwood, KY
National Provider Identifier
1609385236
Registry record updated Apr 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
165432 Issued in KY
Legal business name
ANNA BEHAVIORAL SERVICES, LLC
Practice address
3105 Halls Hill Rd
Crestwood, KY 40014-9523
Phone
(502) 777-2397
Fax
(502) 808-6024
NPI assigned
Sep 26, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2023

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

Authorized official

Name
Samantha Lewis
Title
Owner
Phone
(502) 777-2397

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X 165432 KY Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

3105 Halls Hill Rd
Crestwood, KY 40014-9523

Mailing address

2100 Liberty Rd
Lexington, KY 40509-4319
Phone (502) 777-2397

Other practice location 1

1601 Whippoorwill Rd
Louisville, KY 40213-1040
Phone (502) 777-2397

National Provider Directory

National Provider Directory

Locations

2100 Liberty Rd
Lexington, KY 40509
Phone (502) 777-2397

Practitioners & affiliated clinicians

Practitioners 1

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": "1506384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681084800000",
    "number": "1609385236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 LIBERTY RD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405094319",
            "telephone_number": "502-777-2397",
            "fax_number": "502-808-6024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3105 HALLS HILL RD",
            "city": "CRESTWOOD",
            "state": "KY",
            "postal_code": "400149523",
            "telephone_number": "502-777-2397",
            "fax_number": "502-808-6024"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1601 Whippoorwill Rd",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402131040",
            "country_code": "US",
            "telephone_number": "502-777-2397",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ANNA BEHAVIORAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-26",
        "last_updated": "2023-04-10",
        "certification_date": "2023-04-10",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-777-2397"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "KY",
            "license": "165432",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crestwood, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2023; 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.