Active NPI
Brenna Krivashei, MA
- Student in an Organized Health Care Education/Training Program
- Louisville, KY
National Provider Identifier
1780167783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 851 S 4TH St
Louisville, KY 40203-2115 - Phone
- (502) 585-9925
- NPI assigned
- Sep 14, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | KY | Primary |
Addresses
Primary practice location
851 S 4TH St
Louisville, KY 40203-2115
Mailing address
851 S 4TH St
Louisville, KY 40203-2115
Phone (502) 585-9925
Other practice location 1
5762 Bolsa Ave Ste 101
Huntington Beach, CA 92649-1172
Phone (714) 292-2322
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Love 2 Learn Therapies Inc | Past | Accepting new patients | |
| Be Well Providers, LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Adult Mental Health Clinic/Center
- Louisville, KY
- NPI 1568971950
-
- Speech-Language Pathologist
- Huntington Beach, CA
- NPI 1821430182
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690502400000",
"number": "1780167783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "851 S 4TH ST",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402032115",
"telephone_number": "502-585-9925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "851 S 4TH ST",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402032115",
"telephone_number": "502-585-9925"
}
],
"practiceLocations": [
{
"address_1": "5762 Bolsa Ave Ste 101",
"address_purpose": "LOCATION",
"city": "Huntington Beach",
"state": "CA",
"postal_code": "926491172",
"country_code": "US",
"telephone_number": "714-292-2322",
"fax_number": "714-866-4153",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KRIVASHEI",
"first_name": "BRENNA",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-14",
"last_updated": "2023-07-28",
"certification_date": "2023-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "KY",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jul 28, 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.