Individual provider · Type 1 NPI

Michael Ray Luckenbill, TRADPSS/APSS/CSA

Peer Specialist · Lexington, KY

NPI number 1134068455 Active

Practice location

1555 E New Circle Rd Ste 190
Lexington, KY 40509-1044

Call (859) 329-1181 Map

Fax (859) 407-1186

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000X304897 (KY)

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1134068455

Michael Ray Luckenbill, TRADPSS/APSS/CSA's National Provider Identifier is 1134068455, issued on Mar 25, 2026. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Lexington, KY. The record was last updated on Mar 25, 2026.