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

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: October 25, 2026.

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

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 Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Kristen Fajack reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Peaceful Solutions Counseling Inc
6.1 mi
Clinical
5454 NEW CUT RD, SUITE 6
Louisville, KY 40214
  • Reassigned Medicare billing, Kentucky enrollment
  • 6 clinicians in this Medicare group
NPI 1770900631 (502) 333-0218

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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
1169 EASTERN PKWY STE 3364
LOUISVILLE, KY 40217
Jefferson County (502) 813-8280
ALYSSA BAILEY MSSW, LCSW
Social Worker (Clinical)
1169 EASTERN PKWY STE 3364
LOUISVILLE, KY 40217
Jefferson County (502) 528-8436
MADISON L ROEHRS
Case Manager/Care Coordinator
1169 EASTERN PKWY STE 3364
LOUISVILLE, KY 40217
Jefferson County (502) 813-8280
HAJA KAMARA BS
Case Manager/Care Coordinator
1169 EASTERN PKWY STE 3364
LOUISVILLE, KY 40217
Jefferson County (502) 813-8280
COURTNEY PAIGE LAUVER LCSW
Social Worker (Clinical)
1169 EASTERN PKWY STE 3364
LOUISVILLE, KY 40217
Jefferson County (502) 813-8280
RACHEL LOUISE CLAUSEN LPCA
Counselor (Professional)
1169 EASTERN PKWY STE 3364
LOUISVILLE, KY 40217
Jefferson County (502) 813-8280
KEVIN DIXON
Case Manager/Care Coordinator
1169 EASTERN PKWY STE 3364
LOUISVILLE, KY 40217
Jefferson County (502) 813-8280
SARAH MARIE DUVALL MSW, CSW
Social Worker
1169 EASTERN PKWY STE 3364
LOUISVILLE, KY 40217
Jefferson County (502) 813-8280

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

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.

Where is Kristen Fajack located?

Kristen Fajack practices at 1169 Eastern Pkwy Ste 3364, Louisville, KY 40217. The listed phone number is (502) 813-8280.

What is Kristen Fajack's specialty?

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

Is Kristen Fajack enrolled in Medicare?

Yes. Kristen Fajack is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kristen Fajack's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kristen Fajack reassigns Medicare benefits to Peaceful Solutions Counseling Inc (Louisville, KY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kristen Fajack's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kristen Fajack accept?

Health plans from Anthem Blue Cross and Blue Shield list Kristen Fajack as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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.