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MR. EVAN JONATHAN HOLCOMB LCSW
NPI 1265818520
Social Worker - Clinical in Prestonsburg, KY

Active since August 09, 2015PECOS EnrolledAccepts Medicare Assignment
104 S FRONT AVE, PRESTONSBURG, KY 41653(606) 886-8572(606) 886-4433 Get Directions Write a Review

NPPES record last updated: March 12, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 28, 2020, Oct 5, 2018 (2 updates tracked since 2018).

About Mr. Evan Jonathan Holcomb Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. EVAN JONATHAN HOLCOMB LCSW (NPI 1265818520) is an individual clinical provider in Prestonsburg, Kentucky, licensed in Kentucky (253263) and active in the NPI registry since August 2015. He is enrolled in Medicare PECOS, maintains a secondary practice location in Owensboro, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1265818520
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. EVAN JONATHAN HOLCOMBCredential: LCSW
Location Address104 S FRONT AVEPrestonsburg, KY 41653-1614
Mailing Address104 S Front AvePrestonsburg, KY 41653-1614 · (606) 886-8572 · Fax (606) 886-4433
Phone(606) 886-8572
Fax(606) 886-4433
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateAugust 9, 2015
Last NPPES UpdateMarch 12, 20242 updates tracked since enumeration
NPPES CertifiedMarch 12, 2024
✔ NPI 1265818520 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in KY · 253263
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedSocial WorkerTaxonomy 104100000X · License 7296 (KY)
104 S FRONT AVE, Prestonsburg, KY 41653
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Secondary Practice Location 1

Location 11925 Frederica St Ste 200Owensboro, KY 42301-4818 · Phone (270) 926-2484 · Fax (270) 685-6015

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Evan Jonathan Holcomb Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5799038048
PECOS Enrollment IDI20260206003779
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Evan Holcomb reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mountain Comprehensive Care Center, Inc.
Same address
Federally Qualified Health Center (FQHC)
104 S FRONT AVE
Prestonsburg, KY 41653
  • Reassigned Medicare billing, Kentucky enrollment
  • 236 clinicians in this Medicare group
NPI 1023517679 (606) 886-8572
Truenorth Treatment Center, LLC
238 mi
Rehabilitation, Substance Use Disorder
121 E 2ND ST STE 401
Owensboro, KY 42303
  • Reassigned Medicare billing, Kentucky enrollment
  • 17 clinicians in this Medicare group
NPI 1871067611 (270) 315-1226
Deaconess Hospital, Inc.
256 mi
Clinical Nurse Specialist
4219 GATEWAY BLVD
Newburgh, IN 47630
  • Reassigned Medicare billing, Indiana enrollment
  • 717 clinicians in this Medicare group
NPI 1619755329 (812) 450-7700

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41653 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $52.76 – $162.27
Typical copayment $0.00 (range $13.19 – $40.56)
Most-billed visit code NA
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PETER SMITHWICK OLIVER MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
104 S FRONT AVE
PRESTONSBURG, KY 41653
Floyd County (606) 886-8572
PHILLIP CAUDILL
Counselor (Mental Health)
104 S FRONT AVE
PRESTONSBURG, KY 41653
Floyd County (606) 886-8572
RACHAEL WILLOUGHBY
Counselor (Mental Health)
104 S FRONT AVE
PRESTONSBURG, KY 41653
Floyd County (606) 886-8572
BRITTANY SANDERS
Counselor (Mental Health)
104 S FRONT AVE
PRESTONSBURG, KY 41653
Floyd County (606) 886-8572
DONNA CRIDER
Counselor (Mental Health)
104 S FRONT AVE
PRESTONSBURG, KY 41653
Floyd County (606) 886-8572
ANDREA HURLEY
Community Health Worker
104 S FRONT AVE
PRESTONSBURG, KY 41653
Floyd County (606) 886-8572
AMY KNOTT
Community Health Worker
104 S FRONT AVE
PRESTONSBURG, KY 41653
Floyd County (606) 886-8572
CHELSEA GOBLE
Counselor (Mental Health)
104 S FRONT AVE
PRESTONSBURG, KY 41653
Floyd County (606) 886-8572

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Evan Holcomb's NPI number?

The NPI number for Evan Holcomb is 1265818520. It was assigned to this individual provider in the NPPES registry on August 9, 2015.

Where is Evan Holcomb located?

Evan Holcomb practices at 104 S Front Ave, Prestonsburg, KY 41653. The listed phone number is (606) 886-8572.

What is Evan Holcomb's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Evan Holcomb enrolled in Medicare?

Yes. Evan Holcomb is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Evan Holcomb's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Evan Holcomb reassigns Medicare benefits to 3 organizations: Mountain Comprehensive Care Center, Inc. (Prestonsburg, KY), Truenorth Treatment Center, LLC (Owensboro, KY) and Deaconess Hospital, Inc. (Newburgh, IN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Evan Holcomb's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Evan Holcomb accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Evan Holcomb as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Evan Holcomb was last updated on March 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.