Organization Active NPI

Path to Recovery, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Louisville, KY
National Provider Identifier
1881333136
Registry record updated Jul 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
PATH TO RECOVERY, LLC
Practice address
10219 Riverstone Cir
Louisville, KY 40229-5228
Phone
(502) 322-7071
NPI assigned
Jun 2, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2022

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

Authorized official

Name
Dr. Alexis N Crook, LCSW, PHDNPI 1689096471
Title
Co-Owner
Phone
(502) 322-7071

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

10219 Riverstone Cir
Louisville, KY 40229-5228

Mailing address

10219 Riverstone Cir
Louisville, KY 40229-5228
Phone (502) 322-7071

Other identifiers 1

IdentifierTypeStateIssuer
7100821640MedicaidKY

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address alexis@louisvillementalhealth.org Direct
Direct Messaging Address drbriantlong@madexpressions21.com Direct
Direct Messaging Address Admin@pathtorecoveyllc.com Direct

National Provider Directory

National Provider Directory

Interoperability endpoints

  • Direct secure messaging: admin@pathtorecoveyllc.com

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": "1654128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658188800000",
    "number": "1881333136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10219 RIVERSTONE CIR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402295228",
            "telephone_number": "502-322-7071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10219 RIVERSTONE CIR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402295228",
            "telephone_number": "502-322-7071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATH TO RECOVERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-02",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-19",
        "status": "A",
        "authorized_official_last_name": "CROOK",
        "authorized_official_first_name": "ALEXIS",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "502-322-7071",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LCSW, PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100821640",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "alexis@louisvillementalhealth.org",
            "affiliation": "N",
            "endpointDescription": "secured email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "10219 Riverstone Cir",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402295228",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drbriantlong@madexpressions21.com",
            "affiliation": "N",
            "endpointDescription": "secured email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "10219 Riverstone Cir",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402295228",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Admin@pathtorecoveyllc.com",
            "affiliation": "N",
            "endpointDescription": "Secured email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "10219 Riverstone Cir",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402295228",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 19, 2022; 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.