Individual provider Active NPI

Rolanda Sue Peek-Fisk, LCSW

  • Mental Health Counselor
  • Paducah, KY
National Provider Identifier
1669400065
Registry record updated Mar 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
766 Issued in KY
Practice address
120 Brett Chase
Paducah, KY 42003-5766
Phone
(270) 251-3666
Fax
(270) 251-3506
NPI assigned
Jun 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 766 KY Primary
Mental Health Counselor 101YM0800X LSW0000003337 TN

Addresses

Primary practice location

120 Brett Chase
Paducah, KY 42003-5766

Mailing address

PO Box 9150
Paducah, KY 42002-9150
Phone (270) 251-3666

Other identifiers 1

IdentifierTypeStateIssuer
82000746MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100426000328 KY Practitioner - Clinical Social Worker 0547397457 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

120 Brett Chase
Suite 3
Paducah, KY 42003-5766
Phone (270) 251-3666

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0766KYMDAddiction (Substance Use Disorder) Counselor
LSW0000003337TNMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Merit Behavioral Associates, Inc Mental Health CurrentSince Feb 24, 2003 Accepting new patients

Locations

120 Brett Chase
Ste 3
Paducah, KY 42003
Phone (270) 251-3666

120 Brett Chase
Ste D
Paducah, KY 42003
Phone (270) 557-7410

120 Brett Chase
Paducah, KY 42003
Phone (270) 251-3666

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772755200000",
    "number": "1669400065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9150",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420029150",
            "telephone_number": "270-251-3666",
            "fax_number": "270-251-3506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 BRETT CHASE",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420035766",
            "telephone_number": "270-251-3666",
            "fax_number": "270-251-3506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEEK-FISK",
        "first_name": "ROLANDA",
        "middle_name": "SUE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-28",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "766",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TN",
            "license": "LSW0000003337",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "82000746",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paducah, KY

Sources for this page

Verify at the official NPI Registry.