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ERIK PLYMALE LPCC
NPI 1265852123
Counselor - Professional in Owenton, KY

Active since April 18, 2014PECOS Enrolled
155 W SEMINARY ST, OWENTON, KY 40359(859) 331-3292(859) 578-2864 Get Directions Write a Review

NPPES record last updated: September 16, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 16, 2024, Feb 6, 2024, Nov 1, 2016 (3 updates tracked since 2016).

About Erik Plymale Lpcc NPPES

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

ERIK PLYMALE LPCC (NPI 1265852123) is an individual professional provider in Owenton, Kentucky, licensed in Kentucky (171003) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1265852123
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameERIK PLYMALECredential: LPCC
Location Address155 W SEMINARY STOwenton, KY 40359-1573
Mailing Address502 Farrell DrCovington, KY 41011-3717 · (859) 578-3204 · Fax (859) 578-3273
Phone(859) 331-3292
Fax(859) 578-2864
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateApril 18, 2014
Last NPPES UpdateSeptember 16, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2024
✔ NPI 1265852123 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 · 171003
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 171003 (KY)
155 W SEMINARY ST, Owenton, KY 40359
Open in Google Maps ↗

Secondary Practice Locations 2

Location 14414 Old LaGrange RdBuckner, KY 40010-9547 · Phone (502) 222-2389
Location 2256 Main St Ste BFlorence, KY 41042-2050 · Phone (502) 222-2389

Other Identifiers 2

Other610661458KY · Tax Id
Medicaid7100434430KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Erik Plymale Lpcc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7719425719
PECOS Enrollment IDI20240821000512
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.

Medicare Billing Reassignment

Medicare enrollment records show Erik Plymale reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Prodigal Ministries, LLC
34 mi
Mental Health
4414 OLD LAGRANGE RD
Buckner, KY 40010
  • Reassigned Medicare billing, Kentucky enrollment
  • 7 clinicians in this Medicare group
NPI 1013662717 (502) 222-2389

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Erik Plymale's NPI number?

The NPI number for Erik Plymale is 1265852123. It was assigned to this individual provider in the NPPES registry on April 18, 2014.

Where is Erik Plymale located?

Erik Plymale practices at 155 W Seminary St, Owenton, KY 40359. The listed phone number is (859) 331-3292.

What is Erik Plymale's specialty?

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

Is Erik Plymale enrolled in Medicare?

Yes. Erik Plymale is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Erik Plymale's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Erik Plymale reassigns Medicare benefits to Prodigal Ministries, LLC (Buckner, KY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Erik Plymale's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Erik Plymale accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield list Erik Plymale 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 Erik Plymale was last updated on September 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.