Kevin Lucas Ledford, MS, NCC, LADAC II
NPI 1780405779ActiveIndividual· Counselor, Addiction (Substance Use Disorder)· Jackson, TN
Counselor, Addiction (Substance Use Disorder) (MS, NCC, LADAC II) with Impact Behavioral Counseling LLC, practicing in Jackson, Tennessee. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1780405779 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MS, NCC, LADAC II |
| Sole proprietor | No |
| NPI issued | Oct 22, 2024 |
| Last updated in NPPES | Oct 22, 2024 |
| Certified by provider | Oct 22, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Addiction (Substance Use Disorder) Primary | 101YA0400X | 1713 | TN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Mental Health Counselor (TN) |
|---|
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Mental Health Counselor |
Medical group
- Impact Behavioral Counseling LLCHuntsville, AL · 13 clinicians
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