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.

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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

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