Kelly Holder-coburn, LPC, LICDC in Lima, OH - Medicare Counselor Provider

Kelly Holder-coburn, LPC, LICDC is a medicare enrolled "Counselor - Professional" provider in Lima, Ohio. Her current practice location is 206 E Market St, Lima, Ohio. You can reach out to her office (for appointments etc.) via phone at (937) 387-6395.

Kelly Holder-coburn is licensed to practice in Ohio (license number C.1300431) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1821523259.

Contact Information

	Kelly Holder-coburn, LPC, LICDC
	206 E Market St, Lima, OH 45801-4914
	(937) 387-6395
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kelly Holder-coburn
Gender	Female
Speciality	Counselor - Professional
Location	206 E Market St, Lima, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1821523259
Provider Enumeration Date: 04/24/2017
Last Update Date: 09/29/2021

Medicare PECOS Information:

PECOS PAC ID: 0840630620
Enrollment ID: I20240426000942

Medical Identifiers

Medical identifiers for Kelly Holder-coburn such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1821523259	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	C.1300431 (Ohio)	Primary
101YA0400X	Counselor - Addiction (substance Use Disorder)	121121 (Ohio)	Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kelly Holder-coburn allows following entities to bill medicare on her behalf.

Entity Name	Pathways Counseling Center, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134181084 PECOS PAC ID: 0244281574 Enrollment ID: O20050203000864

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelly Holder-coburn is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Kelly Holder-coburn, LPC, LICDC 535 E 4th St, Delphos, OH 45833-1504 Ph: (419) 979-8944	Kelly Holder-coburn, LPC, LICDC 206 E Market St, Lima, OH 45801-4914 Ph: (937) 387-6395

Reviews and Comments

Counselor in Lima, OH

Ivan L Ballard, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 311 E Market St, Lima, OH 45801 Phone: 419-222-4474
Elisa K Bradley, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2963 Blue Jacket Ct, Lima, OH 45806 Phone: 567-825-1192
Mr. Kevin Edward Bowden, LCDC 3 Counselor Medicare: Not Enrolled in Medicare Practice Location: 799 S Main St, Lima, OH 45804 Phone: 567-242-6072
William Keith I, LCDC III Counselor Medicare: Not Enrolled in Medicare Practice Location: 799 S Main St, Lima, OH 45804 Phone: 419-229-2222
Amy S Brewster, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1505 N Cole St, Lima, OH 45801 Phone: 513-834-7063
Philip B Langsdon, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1505 N Cole St, Lima, OH 45801 Phone: 833-510-4357 Fax: 866-460-2997
Jasper Person Iii, Counselor Medicare: Not Enrolled in Medicare Practice Location: 319 W Market St, Lima, OH 45801 Phone: 614-893-0408

Kelly Holder-coburn, LPC, LICDC - Medicare Counselor in Lima, OH