RICHARD ALEXANDER MCKINLEY – Professional Counselor, NPI 1619303567

RICHARD ALEXANDER MCKINLEY is a healthcare provider. based in Elizabethtown, Kentucky. specializing in MENTAL HEALTH COUNSELOR. They hold a License No. 245620 (KY). The NPI Number for RICHARD ALEXANDER MCKINLEY is 1619303567

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
RICHARD ALEXANDER MCKINLEY
NPI
1619303567
Phone
(270) 765-2605
Address
1311 N Dixie Hwy
Enumeration Date
24 September 2013
Last Update Date
11 September 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8555910092
Graduation Year
2013 (13 years ago)
PAC ID
5991124380
Group Practice PAC ID
7618221300
Professional Enrollment ID
I20240118004202
Address ID
KY402171415LO1169XPKWY328
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:12State licenses:1Digital endpointsOther names

862 MENTAL HEALTH COUNSELOR in KY

Provider Addresses for RICHARD ALEXANDER MCKINLEY

  • 1311 N Dixie Hwy

    Elizabethtown, KY 427012621

    Phone: (270) 765-2605

    Fax: (270) 234-8572

    Type: Location

  • 107 CRANES ROOST CT

    ELIZABETHTOWN, KY 427013650

    Phone: (270) 765-2605

    Fax: (270) 234-8572

    Type: Mailing

  • 1327 E BROADWAY ST STE B

    CAMPBELLSVILLE, KY 427181599

    Phone: (270) 283-4240

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-01-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240118004202IMental Health CounselorKYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 42701)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7618221300View full group profile
NameSpecialtyState
Mental Health CounselorKY
-KY
Nurse PractitionerKY
-KY
Clinical Social WorkerOH
Mental Health CounselorKY
-KY
Clinical Social WorkerKY
Mental Health CounselorKY
Mental Health CounselorKY

Reviews

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Frequently asked questions

Can I cross-check RICHARD ALEXANDER MCKINLEY using NPI 1619303567?
NPI 1619303567 belongs to RICHARD ALEXANDER MCKINLEY; compare other details if you need extra assurance.
Active or inactive — what applies to RICHARD ALEXANDER MCKINLEY?
You should see RICHARD ALEXANDER MCKINLEY as active in CMS-hosted NPPES data.
What expertise is attributed to RICHARD ALEXANDER MCKINLEY?
RICHARD ALEXANDER MCKINLEY's specialty line reads Professional Counselor. Clinical services aligned with this taxonomy classification.
Is RICHARD ALEXANDER MCKINLEY located near Elizabethtown?
RICHARD ALEXANDER MCKINLEY currently maps to Elizabethtown, Kentucky in this extract.
What does 3 location(s) imply?
3 practice locations appear in the available data.

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