MARK ALAN MODLIN M.S. NPI 1417375353

NPI Information

NPI: 1417375353
Provider Name: MARK ALAN MODLIN, M.S.
Classification: Counselor - 101Y00000X
Entity Type: Individual
Address:
130 DUDLEY PIKE
SUITE 120
EDGEWOOD, KY
ZIP 41017
Phone: (859) 341-7170
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Mark Alan Modlin, M.S. is a counselor in Edgewood, KY. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. Mark Alan Modlin, M.S. NPI is 1417375353. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

130 DUDLEY PIKE
SUITE 120
EDGEWOOD, KY
ZIP 41017-396
Phone: (859) 341-7170
Fax: (859) 341-7173

The enumeration date for this NPI number is 3/28/2014 and was last updated on 7/29/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101Y00000X	Counselor		C.0001640	OHIO	No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	KY-0206	KENTUCKY	No
3	101YA0400X	Counselor	Addiction (Substance Use Disorder)	C.0001640	OHIO	No
4	101YM0800X	Counselor	Mental Health	KY-0206	KENTUCKY	No
5	101YM0800X	Counselor	Mental Health	C.0001640	OHIO	No
6	101YP2500X	Counselor	Professional	KY-0206	KENTUCKY	No
7	101YP2500X	Counselor	Professional	C.0001640	OHIO	No
8	101Y00000X	Counselor		KY-0206	KENTUCKY	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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