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

Mr. Kevin Lucas Ledford, MS, NCC, LADACII

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1780405779

Mr. Kevin Lucas Ledford, MS, NCC, LADACII is a Mental Health Counselor in Jackson, Tennessee. Qualified in 2021, 5 years ago. Practices with Impact Behavioral Counseling LLC, a 14-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Tennessee.

Years since qualifying
5
Licensed in
TN
In the registry since
2024
What do these letters mean?
MS — Master of Science
A graduate science degree.
NCC — National Certified Counselor
A counsellor certified by the NBCC.

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Practice location Address checks out

37 Sandstone Cir Ste 92
Jackson, TN 38305-3168
Phone: (731) 265-6025
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 1713 (TN)

Record details

NPI number1780405779
Entity typeIndividual (Type 1)
GenderMale
Credentials MS , NCC , LADACII
Sole proprietorNo
NPI enumeratedOctober 22, 2024
Last updated in NPPESOctober 22, 2024
Certification dateOctober 22, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Impact Behavioral Counseling Llc — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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