Organization Active NPI

KVC Behavioral Healthcare Kentucky Inc

  • Mental Health Counselor
  • Lexington, KY
National Provider Identifier
1083902191
Registry record updated Sep 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
KVC BEHAVIORAL HEALTHCARE KENTUCKY INC
Practice address
2250 Thunderstick Dr Ste 1104
Lexington, KY 40505-9009
Phone
(859) 254-1035
Fax
(859) 254-2075
NPI assigned
Jul 11, 2011
Last updated
Sep 17, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
KVC HEALTH SYSTEMS INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 17, 2026

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

Authorized official

Name
Regina Maria Klyachkin, LCSWNPI 1336428465
Title
President
Phone
(859) 254-1035

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 6

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary
Professional Counselor 101YP2500X
Clinical Psychologist 103TC0700X
Clinical Social Worker 1041C0700X
Case Management Agency 251B00000X
Health Maintenance Organization 302R00000X KY

Addresses

Primary practice location

2250 Thunderstick Dr Ste 1104
Lexington, KY 40505-9009

Mailing address

2250 Thunderstick Dr Ste 1104
Lexington, KY 40505-9009
Phone (859) 254-1035

Other identifiers 3

IdentifierTypeStateIssuer
7100284110MedicaidKY
7100318330MedicaidKY
7100283480MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210527002738 KY Part B Supplier - Clinic/Group Practice 3072912880 Receives reassigned benefits from 40 practitioners
Practice locations: Somerset, KY; Richmond, KY; Radcliff, KY; Morehead, KY; Louisville, KY; London, KY; Ivel, KY; Hazard, KY…

National Provider Directory

National Provider Directory
Tax ID family
KVC Behavioral Healthcare Kentucky Inc13 organizations share this tax ID, including this one
Part of
KVC Hospitals Inc

Other organizations with this tax ID 12

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

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

7351 US Route 60
Ashland, KY 41102
Phone (606) 331-1069

7570 US Highway 42
Ste A
Florence, KY 41042

71 Conn St
Ivel, KY 41642
Phone (606) 478-8500

2250 Thunderstick Dr
Ste 1104
Lexington, KY 40505
Phone (859) 254-1305

315 Townepark Cir
Ste 101
Louisville, KY 40243

1225 US Highway 60 W
Ste 107
Morehead, KY 40351
Phone (606) 207-8550

990 S Dixie Blvd
Ste 3
Radcliff, KY 40160

324 Highland Park Dr
Richmond, KY 40475
Phone (859) 300-4715

4311 S Highway 27
Ste 3
Somerset, KY 42501
Phone (859) 436-8403

Practitioners & affiliated clinicians

Practitioners 147

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 147

NPI Registry JSON

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

{
    "created_epoch": "1310342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789603200000",
    "number": "1083902191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 THUNDERSTICK DR STE 1104",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405059009",
            "telephone_number": "859-254-1035",
            "fax_number": "859-254-2075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 THUNDERSTICK DR STE 1104",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405059009",
            "telephone_number": "859-254-1035",
            "fax_number": "859-254-2075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KVC BEHAVIORAL HEALTHCARE KENTUCKY INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KVC HEALTH SYSTEMS  INC",
        "enumeration_date": "2011-07-11",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A",
        "authorized_official_last_name": "KLYACHKIN",
        "authorized_official_first_name": "REGINA",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "859-254-1035",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "KY",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100284110",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100318330",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100283480",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "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 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.