Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

WILLIAM DAVID BACK LPCC, TACDC
NPI 1083135636
Counselor - Professional in Frankfort, KY

Active since July 05, 2017PECOS EnrolledAccepts Medicare Assignment
649 CHAMBERLIN AVE STE 2500, FRANKFORT, KY 40601(216) 468-5000(216) 456-8128 Get Directions Write a Review

NPPES record last updated: June 29, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 4, 2024, Jul 21, 2022, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About William David Back Lpcc, Tacdc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WILLIAM DAVID BACK LPCC, TACDC (NPI 1083135636) is an individual professional provider in Frankfort, Kentucky, licensed in Kentucky (162868) and active in the NPI registry since July 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1083135636
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameWILLIAM DAVID BACKCredential: LPCC, TACDC
Location Address649 CHAMBERLIN AVE STE 2500Frankfort, KY 40601-4288
Mailing Address4800 N Scottsdale Rd Ste 2500Scottsdale, AZ 85251-7630 · (216) 468-5000 · Fax (216) 456-8128
Fax(216) 456-8128
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateJuly 5, 2017
Last NPPES UpdateJune 29, 20264 updates tracked since enumeration
NPPES CertifiedJune 29, 2026
NPI 1083135636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in KY · 162868
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 168467 (KY)
649 CHAMBERLIN AVE STE 2500, Frankfort, KY 40601

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

William David Back Lpcc, Tacdc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID345684585
PECOS Enrollment IDI20240215003758
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
649 CHAMBERLIN AVE STE 2500
FRANKFORT, KY 40601

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is William Back's NPI number?

The NPI number for William Back is 1083135636. It was assigned to this individual provider in the NPPES registry on July 5, 2017.

Where is William Back located?

William Back practices at 649 Chamberlin Ave Ste 2500, Frankfort, KY 40601. The listed phone number is (216) 468-5000.

What is William Back's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is William Back enrolled in Medicare?

Yes. William Back is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does William Back accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Providence Health Plan list William Back as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for William Back was last updated on June 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 38 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.