Organization Active NPI

Wkda Services LLC

  • Addiction (Substance Use Disorder) Counselor
  • Mayfield, KY
National Provider Identifier
1275947905
Registry record updated Aug 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
WKDA SERVICES LLC
Practice address
120 N 9TH St
Mayfield, KY 42066-1800
Phone
(270) 247-4212
Fax
(270) 247-2017
NPI assigned
Jun 20, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Marty Cobb, BSNPI 1538900444
Title
Owner/Program Adminstrator
Phone
(270) 247-4212

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X Primary

Addresses

Primary practice location

120 N 9TH St
Mayfield, KY 42066-1800

Mailing address

PO Box 374
Mayfield, KY 42066-0029
Phone (270) 247-4212

Other names 1

  • West Kentucky Drug & Alcohol Intervention Services Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250912000309 KY Part B Supplier - Clinic/Group Practice 3072016377 Receives reassigned benefits from 1 practitioner
Practice locations: Murray, KY; Princeton, KY; Paducah, KY; Mayfield, KY; Benton, KY

National Provider Directory

National Provider Directory
Tax ID family
West Kentucky Drug Alcohol Intervention Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1107 Poplar St
Benton, KY 42025
Phone (270) 247-2017

120 N 9th St
Mayfield, KY 42066
Phone (270) 247-4212

700 Jefferson St
Ste 702
Paducah, KY 42001
Phone (270) 247-4212

102B US Highway 62 W
Princeton, KY 42445
Phone (270) 247-2017

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1403222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755216000000",
    "number": "1275947905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 374",
            "city": "MAYFIELD",
            "state": "KY",
            "postal_code": "420660029",
            "telephone_number": "270-247-4212",
            "fax_number": "270-247-2017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 N 9TH ST",
            "city": "MAYFIELD",
            "state": "KY",
            "postal_code": "420661800",
            "telephone_number": "270-247-4212",
            "fax_number": "270-247-2017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WKDA SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-20",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-15",
        "status": "A",
        "authorized_official_last_name": "COBB",
        "authorized_official_first_name": "MARTY",
        "authorized_official_title_or_position": "OWNER/PROGRAM ADMINSTRATOR",
        "authorized_official_telephone_number": "270-247-4212",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BS"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Kentucky Drug & Alcohol Intervention Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mayfield, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.