Individual provider Active NPI

Chastity Polston Willoughby, MHC

  • Mental Health Counselor
  • Albany, KY
National Provider Identifier
1922670512
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
401 Central St
Albany, KY 42602-1505
Phone
(606) 306-4977
NPI assigned
Jul 13, 2021
Last updated
May 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

401 Central St
Albany, KY 42602-1505

Mailing address

401 Central St
Albany, KY 42602-1505
Phone (606) 306-4977

Other names 1

  • Chastity Polston Willoughby Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address chastity.polston@bluegrassprofessionalcounseling.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, HI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240827001873 KY Practitioner - Mental Health Counselor 2365981925 Reassigns benefits to 1 organization
I20260612000994 HI Practitioner - Mental Health Counselor 2365981925 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aloha Integrative Mental HealthGroup PAC ID 1355861998, 3 clinicians

Practice addresses (Care Compare)

18 -1228 Kona St
Mountain View, HI 96771-9677
Phone (808) 797-2621

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mindsight PLLC CurrentSince Aug 15, 2024 Accepting new patients
Innovative Solutions R & D LLC CurrentSince Aug 15, 2024 Accepting new patients

Locations

600 Monticello St
Somerset, KY 42501
Phone (606) 401-2966

600 Monticello St
Ste 2
Somerset, KY 42501
Phone (606) 401-2966

Organizations & group practices 3

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": "1626134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779926400000",
    "number": "1922670512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 CENTRAL ST",
            "city": "ALBANY",
            "state": "KY",
            "postal_code": "426021505",
            "telephone_number": "606-306-4977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 CENTRAL ST",
            "city": "ALBANY",
            "state": "KY",
            "postal_code": "426021505",
            "telephone_number": "606-306-4977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLOUGHBY",
        "first_name": "CHASTITY",
        "middle_name": "POLSTON",
        "credential": "MHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-13",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "chastity.polston@bluegrassprofessionalcounseling.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "401 Central St",
            "city": "Albany",
            "state": "KY",
            "country_code": "US",
            "postal_code": "426021505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CHASTITY",
            "last_name": "WILLOUGHBY",
            "middle_name": "POLSTON",
            "credential": "MHC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Albany, KY

Sources for this page

Verify at the official NPI Registry.