Active NPI
Chelsey Layne Gorham
- Marriage & Family Therapist
- Louisville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 167133
- Practice address
- 13121 Eastpoint Park Blvd Ste F
Louisville, KY 40223-4192 - Phone
- (502) 612-9129
- NPI assigned
- Aug 6, 2015
- Last updated
- Jul 30, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 1427 | TN | |
| Marriage & Family Therapist | 106H00000X | NU | ||
| Marriage & Family Therapist | 106H00000X | 167133 | KY | Primary |
| Marriage & Family Therapist | 106H00000X | 350019282A | IN |
Addresses
Primary practice location
13121 Eastpoint Park Blvd Ste F
Louisville, KY 40223-4192
Mailing address
13121 Eastpoint Park Blvd Ste F
Louisville, KY 40223-4192
Phone (502) 262-8767
Other practice location 1
13121 Eastpoint Park Blvd Ste F
Louisville, KY 40223-4192
Phone (502) 262-8767
Other practice location 2
16207 Eastwood Cut Off Rd # 21
Eastwood, KY 40018-9998
Phone (502) 991-1299
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7101039050 | Medicaid | KY |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 350019282A | IN | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Innovative Family Therapy | Marriage & Family Therapist | Current | Accepting new patients |
| Gorham Counseling and Wellness, LLC | Marriage & Family Therapist | Current | Accepting new patients |
Locations
13121 Eastpoint Park Blvd
Ste F
Louisville, KY 40223
Phone (502) 262-8767
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Counselor
- Louisville, KY
- NPI 1760213722
Marriage & Family Therapist
-
- Marriage & Family Therapist
- Louisville, KY
- NPI 1740769900
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785369600000",
"number": "1699151258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13121 EASTPOINT PARK BLVD STE F",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402234192",
"telephone_number": "502-262-8767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13121 EASTPOINT PARK BLVD STE F",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402234192",
"telephone_number": "502-612-9129"
}
],
"practiceLocations": [
{
"address_1": "13121 Eastpoint Park Blvd Ste F",
"address_purpose": "LOCATION",
"city": "Louisville",
"state": "KY",
"postal_code": "402234192",
"country_code": "US",
"telephone_number": "502-262-8767",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "16207 Eastwood Cut Off Rd # 21",
"address_purpose": "LOCATION",
"city": "Eastwood",
"state": "KY",
"postal_code": "400189998",
"country_code": "US",
"telephone_number": "502-991-1299",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GORHAM",
"first_name": "CHELSEY",
"middle_name": "LAYNE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-08-06",
"last_updated": "2026-07-30",
"certification_date": "2026-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "TN",
"license": "1427",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "KY",
"license": "167133",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "IN",
"license": "350019282A",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7101039050",
"state": "KY"
}
],
"endpoints": [],
"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 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.