Organization Active NPI

Chrysalis Counseling & Behavioral Health, PLLC

  • Professional Counselor
  • Somerset, KY
National Provider Identifier
1811874183
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
CHRYSALIS COUNSELING & BEHAVIORAL HEALTH, PLLC
Practice address
112 Southport Dr
Somerset, KY 42501-4149
Phone
(276) 337-2558
NPI assigned
Aug 19, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2025

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

Authorized official

Name
Cherish Forney, LPCC
Title
Owner
Phone
(276) 337-2558

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

112 Southport Dr
Somerset, KY 42501-4149

Mailing address

101 Spring Hill Dr
Somerset, KY 42501-5486
Phone (276) 337-2558

Other identifiers 1

IdentifierTypeStateIssuer
7101086720MedicaidKY

National Provider Directory

National Provider Directory

Locations

112 Southport Dr
Somerset, KY 42501
Phone (276) 337-2558

NPI Registry JSON

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

{
    "created_epoch": "1755561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760486400000",
    "number": "1811874183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 SPRING HILL DR",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425015486",
            "telephone_number": "276-337-2558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 SOUTHPORT DR",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425014149",
            "telephone_number": "276-337-2558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRYSALIS COUNSELING & BEHAVIORAL HEALTH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-19",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A",
        "authorized_official_last_name": "FORNEY",
        "authorized_official_first_name": "CHERISH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "276-337-2558",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7101086720",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2025; 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.