1. Home
  2. Directory
  3. Kentucky
  4. Edgewood
  5. Counselor
  6. NPI Profile

MARK ALAN MODLIN M.S.
NPI 1417375353
Counselor in Edgewood, KY

Active since March 28, 2014
130 DUDLEY PIKE, SUITE 120, EDGEWOOD, KY 41017(859) 341-7170(859) 341-7173 Get Directions Write a Review

NPPES record last updated: July 29, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mark Alan Modlin M.s. NPPES

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

MARK ALAN MODLIN M.S. (NPI 1417375353) is an individual counselor in Edgewood, Kentucky, licensed in Kentucky (KY-0206) and active in the NPI registry since March 2014.

NPPES Registry Identity

NPI1417375353
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameMARK ALAN MODLINCredential: M.S.
Location Address130 DUDLEY PIKE, SUITE 120Edgewood, KY 41017-2396
Mailing Address130 Dudley Pike, Suite 120Edgewood, KY 41017-2396 · (859) 341-7170 · Fax (859) 341-7173
Phone(859) 341-7170
Fax(859) 341-7173
Sole ProprietorNo
Enumeration DateMarch 28, 2014
Last NPPES UpdateJuly 29, 2014
✔ NPI 1417375353 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Licenses✔ Licensed in KY · KY-0206✔ Licensed in OH · C.0001640
Definition
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.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License KY-0206 (KY), C.0001640 (OH)
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License KY-0206 (KY), C.0001640 (OH)
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License KY-0206 (KY), C.0001640 (OH)
130 DUDLEY PIKE, Edgewood, KY 41017
Open in Google Maps ↗

Other Providers at the Same Location NPPES

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

MARK MODLIN, INC.
Counselor
130 DUDLEY PIKE, SUITE 120
EDGEWOOD, KY 41017
Kenton County (859) 341-7170

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 Mark Modlin's NPI number?

The NPI number for Mark Modlin is 1417375353. It was assigned to this individual provider in the NPPES registry on March 28, 2014.

Where is Mark Modlin located?

Mark Modlin practices at 130 Dudley Pike Suite 120, Edgewood, KY 41017. The listed phone number is (859) 341-7170.

What is Mark Modlin's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Mark Modlin was last updated on July 29, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.