Individual provider Active NPI

Nakristia Alayne Pitts, LCSW

  • Clinical Social Worker
  • Louisville, KY
National Provider Identifier
1962972810
Registry record updated Dec 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
253746 Issued in KY
Practice address
3401 Dixie Hwy
Louisville, KY 40216-5015
NPI assigned
Dec 4, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 253746 KY Primary

Addresses

Primary practice location

3401 Dixie Hwy
Louisville, KY 40216-5015

Mailing address

6915 Rock Hollow Dr
Louisville, KY 40219-2416
Phone (502) 615-6542

Other practice location 1

2650 W Broadway
Louisville, KY 40211-1333
Phone (502) 589-8723

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190614001009 KY Practitioner - Clinical Social Worker 1052644580 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3401 Dixie Hwy
Louisville, KY 40216-5015
Phone (502) 615-6542

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Havehope Counseling & Consulting, PLLC CurrentSince Nov 7, 2023 Accepting new patients
Willenium Enterprise Foundation CurrentSince Dec 4, 2023 Accepting new patients

Locations

10401 Linn Station Rd
Ste 100
Louisville, KY 40223

3401 Dixie Hwy
Louisville, KY 40216
Phone (502) 233-7811

1448 S 15th St
Louisville, KY 40210
Phone (502) 290-3050

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.

NPI Registry JSON

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

{
    "created_epoch": "1543881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701648000000",
    "number": "1962972810",
    "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"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2650 W Broadway",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402111333",
            "country_code": "US",
            "telephone_number": "502-589-8723",
            "fax_number": "502-775-5292",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PITTS",
        "first_name": "NAKRISTIA",
        "middle_name": "ALAYNE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-04",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "253746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.