Individual provider Active NPI

Chelsey Layne Gorham

  • Marriage & Family Therapist
  • Louisville, KY
National Provider Identifier
1699151258
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
167133 Issued in KY
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, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
7101039050MedicaidKY

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
I20250716003169 KY Practitioner - Marriage and Family Therapist 7214442359 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
350019282AINMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Innovative Family Therapy Marriage & Family Therapist CurrentSince Feb 23, 2025 Accepting new patients
Gorham Counseling and Wellness, LLC Marriage & Family Therapist CurrentSince Apr 2, 2025 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.

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

Verify at the official NPI Registry.