Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mark Alan Modlin, MS

Individual provider Counselor · NPI 1417375353

Mark Alan Modlin, MS is a Counselor 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
8
What do these letters mean?
MS — Master of Science
A graduate science degree.

See every abbreviation used in this directory →

Practice location Address checks out

130 Dudley Pike Ste 120
Edgewood, KY 41017-2396
Phone: (859) 341-7170
Fax: (859) 341-7173
Show map & directions

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)
Professional Counselor Taxonomy 101YP2500X · Licence KY-0206 (KY)
Professional Counselor Taxonomy 101YP2500X · Licence C.0001640 (OH)

Record details

NPI number1417375353
Entity typeIndividual (Type 1)
GenderMale
Credentials MS
Sole proprietorNo
NPI enumeratedMarch 28, 2014
Last updated in NPPESJuly 29, 2014
Mailing address130 Dudley Pike, Suite 120, Edgewood, KY 41017-2396

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