Kelly Holder-Coburn, LPC, LICDC
NPI 1821523259ActiveIndividual· Counselor, Professional· Lima, OH
Counselor, Professional (LPC, LICDC) in Lima, Ohio, licensed in OH, with an NPI issued in April 2017. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1821523259 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LPC, LICDC |
| Sole proprietor | No |
| NPI issued | Apr 24, 2017 |
| Last updated in NPPES | Sep 29, 2021 |
| Certified by provider | Sep 29, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | C.1300431 | OH |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | 121121 | OH |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Mental Health Counselor (OH) |
|---|
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