Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Mark Modlin, Inc

Organization Counselor · NPI 1881003705

Mark Modlin, Inc provides Counselor services in Edgewood, Kentucky. Licensed in Kentucky and Ohio. Registered with an NPI since 2014.

Licensed in
KY, OH
In the registry since
2014
Specialties on file
6
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

130 Dudley Pike Ste 120
Edgewood, KY 41017-2396 Not confirmed with CMS for 12 years — call before visiting
Phone: (859) 341-7170
Fax: (859) 341-7173
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence KY-0206 (KY)
Counselor Taxonomy 101Y00000X · Licence C.0001640 (OH)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence KY-0206 (KY)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence C.0001640 (OH)
Mental Health Counselor Taxonomy 101YM0800X · Licence KY-0206 (KY)
Mental Health Counselor Taxonomy 101YM0800X · Licence C.0001640 (OH)

Record details

NPI number1881003705
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Modlin — Owner · (859) 341-7170
NPI enumeratedAugust 5, 2014
Last updated in NPPESAugust 5, 2014
Mailing address130 Dudley Pike, Suite 120, Edgewood, KY 41017-2396

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