Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1417375353 Individual Practitioner Male Practitioner

Mark Alan Modlin , MS

Counselor • Edgewood, KY

Professional Overview & Biography Verified Profile Summary

Mark Modlin, MS is a registered healthcare professional specializing in Counselor in Edgewood, KY. Practice services are available at 130 DUDLEY PIKE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

130 Dudley Pike
Suite 120

Edgewood, KY 410172396

Telephone 8593417170
Fax 8593417173
Associated Practice Facility / Clinic
🏢 Mark Modlin, Inc. Facility NPI 1881003705

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Edgewood, KY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.2 Yrs
Regional Practice Density
2 Specialists

Practicing in Edgewood, KY (1732 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

State License KY KY-0206

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.

Counselor

NUCC Taxonomy Code: 101Y00000X

State License OH C.0001640

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.

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

State License KY KY-0206

Definition to come...

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

State License OH C.0001640

Definition to come...

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

State License KY KY-0206

Definition to come...

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

State License OH C.0001640

Definition to come...

Counselor - Professional

NUCC Taxonomy Code: 101YP2500X

State License KY KY-0206

Definition to come...

Counselor - Professional

NUCC Taxonomy Code: 101YP2500X

State License OH C.0001640

Definition to come...

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 29, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location July 29, 2014

Registered at 130 DUDLEY PIKE, SUITE 120, EDGEWOOD, KY 410172396 (Tel: 8593417170)

📍
Updated Business Mailing Address July 29, 2014

Registered at 130 DUDLEY PIKE, SUITE 120, EDGEWOOD, KY 410172396 (Tel: 8593417170)

👤
Provider Name / Credentials Updated July 29, 2014

Recorded as MARK MODLIN, M.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 29, 2014

Counselor (License #KY-0206 in KY)

🟢
Initial NPI Registration & Enumeration March 28, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1417375353
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 28, 2014
Last Update: July 29, 2014
Sole Proprietor: No

Mailing Address

130 Dudley Pike, Suite 120

Edgewood, KY 410172396

Phone: 8593417170

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.