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STACY KIRKHAM LCADC
NPI 1790367746
Counselor - Addiction (Substance Use Disorder) in Paducah, KY

Active since April 28, 2021PECOS Enrolled
220 BERGER RD, PADUCAH, KY 42003(270) 441-0030 Get Directions Write a Review

NPPES record last updated: March 14, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 14, 2025, Apr 28, 2021 (2 updates tracked since 2021).

About Stacy Kirkham Lcadc NPPES

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

STACY KIRKHAM LCADC (NPI 1790367746) is an individual addiction (substance use disorder) provider in Paducah, Kentucky, licensed in Kentucky (297211) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790367746
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameSTACY KIRKHAMCredential: LCADC
Location Address220 BERGER RDPaducah, KY 42003-4522
Mailing Address220 Berger RdPaducah, KY 42003-4522 · (270) 441-0030
Phone(270) 441-0030
Sole ProprietorNo
Enumeration DateApril 28, 2021
Last NPPES UpdateMarch 14, 20252 updates tracked since enumeration
NPPES CertifiedMarch 12, 2025
✔ NPI 1790367746 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
Licenses✔ Licensed in KY · 297211✔ Licensed in IL · 38328
Also ListedCounselorTaxonomy 101Y00000X
Also ListedSocial WorkerTaxonomy 104100000X · License 150112934 (IL)
220 BERGER RD, Paducah, KY 42003
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stacy Kirkham Lcadc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 9

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

JESSICA LOREN WYATT
Case Manager/Care Coordinator
220 BERGER RD
PADUCAH, KY 42003
McCracken County (270) 441-0030
AMANDA LEIGH WALKER
Peer Specialist
220 BERGER RD
PADUCAH, KY 42003
McCracken County (270) 441-0030
NAKEISHA JO PERKINS NP-C
Nurse Practitioner (Family)
220 BERGER RD
PADUCAH, KY 42003
McCracken County (270) 441-0030
BRIANA MASON CSW, MSW
Social Worker (Clinical)
220 BERGER RD
PADUCAH, KY 42003
McCracken County (270) 441-0030
DEBRA ACREE
Counselor (Professional)
220 BERGER RD
PADUCAH, KY 42003
McCracken County (270) 441-0030
DREW LESTER
Case Manager/Care Coordinator
220 BERGER RD
PADUCAH, KY 42003
McCracken County (270) 441-0030
MRS. MADISON LANE ELLINGTON BSW
Case Manager/Care Coordinator
220 BERGER RD
PADUCAH, KY 42003
McCracken County (270) 441-0030
CLAUDIA NEVILLE
Case Manager/Care Coordinator
220 BERGER RD
PADUCAH, KY 42003
McCracken County (270) 441-0030

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 Stacy Kirkham's NPI number?

The NPI number for Stacy Kirkham is 1790367746. It was assigned to this individual provider in the NPPES registry on April 28, 2021.

Where is Stacy Kirkham located?

Stacy Kirkham practices at 220 Berger Rd, Paducah, KY 42003. The listed phone number is (270) 441-0030.

What is Stacy Kirkham's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Stacy Kirkham enrolled in Medicare?

Yes. Stacy Kirkham is registered in the Medicare PECOS enrollment system.

What insurance does Stacy Kirkham accept?

Health plans from CareSource list Stacy Kirkham 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 Stacy Kirkham was last updated on March 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.