Organization Active NPI

Perfect Imperfections Ky, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Lexington, KY
National Provider Identifier
1831760271
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
PERFECT IMPERFECTIONS KY, LLC
Practice address
1018 E New Circle Rd
Lexington, KY 40505-4145
Phone
(859) 368-0003
Fax
(859) 368-0027
NPI assigned
Jul 7, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

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

Authorized official

Name
Coritta Roberts
Title
Owner
Phone
(859) 382-0203

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

1018 E New Circle Rd
Lexington, KY 40505-4145

Mailing address

1018 E New Circle Rd
Lexington, KY 40505-4145
Phone (859) 368-0003

Other identifiers 1

IdentifierTypeStateIssuer
7100773800MedicaidKY

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Drchrono

National Provider Directory

National Provider Directory
Tax ID family
Perfect Imperfections Ky LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

1018 E New Circle Rd
Lexington, KY 40505
Phone (859) 368-0003

1450 N Broadway
Ste 305
Lexington, KY 40505

Ownership & related parties

Subparts reporting this organization as parent 1

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

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": "1625616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757462400000",
    "number": "1831760271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1018 E NEW CIRCLE RD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405054145",
            "telephone_number": "859-368-0003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1018 E NEW CIRCLE RD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405054145",
            "telephone_number": "859-368-0003",
            "fax_number": "859-368-0027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFECT IMPERFECTIONS KY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-07",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "CORITTA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-382-0203"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100773800",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Drchrono",
            "affiliation": "N",
            "endpointDescription": "EHR",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Drchrono",
            "address_1": "1018 E New Circle Rd Ste 204",
            "city": "Lexington",
            "state": "KY",
            "country_code": "US",
            "postal_code": "405054138",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2025; 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.