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KELLY HOLDER-COBURN LPC, LICDC
NPI 1821523259
Counselor - Professional in Lima, OH

Active since April 24, 2017PECOS Enrolled
206 E MARKET ST, LIMA, OH 45801(937) 387-6395 Get Directions Write a Review

NPPES record last updated: September 29, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 29, 2021, Apr 24, 2017 (2 updates tracked since 2017).

About Kelly Holder-coburn Lpc, Licdc NPPES

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

KELLY HOLDER-COBURN LPC, LICDC (NPI 1821523259) is an individual professional provider in Lima, Ohio, licensed in Ohio (C.1300431) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1821523259
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKELLY HOLDER-COBURNCredential: LPC, LICDC
Location Address206 E MARKET STLima, OH 45801-4914
Mailing Address535 E 4th StDelphos, OH 45833-1504 · (419) 979-8944
Phone(937) 387-6395
Sole ProprietorNo
Enumeration DateApril 24, 2017
Last NPPES UpdateSeptember 29, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2021
✔ NPI 1821523259 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in OH · C.1300431
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 121121 (OH)
206 E MARKET ST, Lima, OH 45801
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Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Holder-coburn Lpc, Licdc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Kelly Holder-coburn reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pathways Counseling Center, Inc.
20 mi
Community/Behavioral Health
835 N LOCUST ST
Ottawa, OH 45875
  • Reassigned Medicare billing, Ohio enrollment
  • 10 clinicians in this Medicare group
NPI 1609133917 (419) 523-4300

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

Other Providers at the Same Location NPPES 5

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

LORI LEE WILLIAMS RN
Registered Nurse
206 E MARKET ST
LIMA, OH 45801
Allen County (567) 712-3388
HOPE EUTSLER RN
Registered Nurse
206 E MARKET ST
LIMA, OH 45801
Allen County (937) 387-6395
JESSICA CRAMER
Counselor
206 E MARKET ST
LIMA, OH 45801
Allen County (567) 712-6322
KELSEY STONER LSW
Social Worker
206 E MARKET ST
LIMA, OH 45801
Allen County (419) 340-0972
PATRICK LOUP CDCA
Counselor (Addiction (Substance Use Disorder))
206 E MARKET ST
LIMA, OH 45801
Allen County (937) 387-6395

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 Kelly Holder-coburn's NPI number?

The NPI number for Kelly Holder-coburn is 1821523259. It was assigned to this individual provider in the NPPES registry on April 24, 2017.

Where is Kelly Holder-coburn located?

Kelly Holder-coburn practices at 206 E Market St, Lima, OH 45801. The listed phone number is (937) 387-6395.

What is Kelly Holder-coburn's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Kelly Holder-coburn enrolled in Medicare?

Yes. Kelly Holder-coburn is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kelly Holder-coburn's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Holder-coburn reassigns Medicare benefits to Pathways Counseling Center, Inc. (Ottawa, OH). The 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 Kelly Holder-coburn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelly Holder-coburn accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual, Molina Healthcare and Oscar Health Insurance and 3 other insurers list Kelly Holder-coburn 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 Kelly Holder-coburn was last updated on September 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.