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

William David Back, LPCC, TACDC

Individual provider Professional Counselor · NPI 1083135636

William David Back, LPCC, TACDC is a Mental Health Counselor in Frankfort, Kentucky. Qualified in 2010, 16 years ago. Practices with Psychological and Behavioral Consultants LLC, a 577-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
16
Licensed in
KY
In the registry since
2017
Specialties on file
2
What do these letters mean?
LPCC — Licensed Professional Clinical Counselor
The title some states use for a licensed clinical counsellor.

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Practice location Address checks out

649 Chamberlin Ave Ste 2500
Frankfort, KY 40601-4288
Phone: (216) 468-5000
Fax: (216) 456-8128
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 162868 (KY)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 168467 (KY)

Record details

NPI number1083135636
Entity typeIndividual (Type 1)
GenderMale
Credentials LPCC , TACDC
Sole proprietorNo
NPI enumeratedJuly 5, 2017
Last updated in NPPESJune 29, 2026
Certification dateJune 29, 2026
Mailing address4800 N Scottsdale Rd Ste 2500, Scottsdale, AZ 85251-7630

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Psychological And Behavioral Consultants Llc — 577 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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