NPIMap

Organization Active NPI

Innovative Family Therapy

  • Marriage & Family Therapist
  • Louisville, KY
National Provider Identifier
1740769900
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
INNOVATIVE FAMILY THERAPY
Practice address
13121 Eastpoint Park Blvd Ste F
Louisville, KY 40223-4192
Phone
(502) 612-9129
NPI assigned
Aug 8, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

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

Authorized official

Name
Mrs. Chelsey Layne Gorham, MSC, LMFT, GC-CNPI 1699151258
Title
Owner and Therapist
Phone
(502) 612-9129

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X Primary

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) 612-9129

National Provider Directory

National Provider Directory

Locations

13121 Eastpoint Park Blvd
Ste F
Louisville, KY 40223
Phone (502) 262-8767

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1533686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734393600000",
    "number": "1740769900",
    "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": "502-612-9129"
        },
        {
            "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": [],
    "basic": {
        "organization_name": "INNOVATIVE FAMILY THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-08",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A",
        "authorized_official_last_name": "GORHAM",
        "authorized_official_first_name": "CHELSEY",
        "authorized_official_middle_name": "LAYNE",
        "authorized_official_title_or_position": "OWNER AND THERAPIST",
        "authorized_official_telephone_number": "502-612-9129",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSC, LMFT, GC-C"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Dec 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.