KRISTEN N FAJACK LMFT
NPI 1962979682
Marriage & Family Therapist in Louisville, KY

Q: What is Kristen Fajack's NPI number?

The NPI number for Kristen Fajack is 1962979682. It was assigned to this individual provider in the NPPES registry on October 31, 2018. The provider is also known as Kristen N Gratz Lmft.

Q: What is Kristen Fajack's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Kristen Fajack was last updated on May 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 31, 2018PECOS Enrolled

1169 EASTERN PKWY STE 3364, LOUISVILLE, KY 40217(502) 813-8280(502) 473-1334 Get Directions Write a Review

NPPES record last updated: May 13, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 13, 2021, Jun 16, 2020, Jun 14, 2019 and 1 more (4 updates tracked since 2018).

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About Kristen N Fajack Lmft NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KRISTEN N FAJACK LMFT (NPI 1962979682) is an individual marriage & family therapist in Louisville, Kentucky, licensed in Kentucky (245187) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962979682

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameKRISTEN N FAJACKCredential: LMFT

Location Address1169 EASTERN PKWY STE 3364Louisville, KY 40217-1415

Mailing Address10100 Elida RdDelphos, OH 45833-9058 · (419) 695-8010 · Fax (419) 695-0004

Phone(502) 813-8280

Fax(502) 473-1334

Sole ProprietorYes

Enumeration DateOctober 31, 2018

Last NPPES UpdateMay 13, 20214 updates tracked since enumeration

NPPES CertifiedMay 13, 2021

✔ NPI 1962979682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in KY · 245187

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

1169 EASTERN PKWY STE 3364, Louisville, KY 40217

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Other Names 1

Former Name (1)Kristen N Gratz Lmft

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kristen N Fajack Lmft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PAULINE HARRIS

Case Manager/Care Coordinator