KATHLEEN R. HOLMES – Professional Counselor, NPI 1508992876

KATHLEEN R. HOLMES is a healthcare provider. based in Newark, Ohio. specializing in MENTAL HEALTH COUNSELOR. They hold a License No. E.0602104 (OH). The NPI Number for KATHLEEN R. HOLMES is 1508992876

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
KATHLEEN R. HOLMES
NPI
1508992876
Phone
(740) 507-4014
Address
505 MOUNT VERNON RD
Enumeration Date
23 February 2007
Last Update Date
24 November 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7408773440
Graduation Year
2008 (18 years ago)
PAC ID
0840204004
Group Practice PAC ID
7810217536
Professional Enrollment ID
I20240106000097
Address ID
OH430561647HE575XXPKWY300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,538 MENTAL HEALTH COUNSELOR in OH

Provider Addresses for KATHLEEN R. HOLMES

  • 505 MOUNT VERNON RD

    SUITE 300

    NEWARK, OH 430554682

    Phone: (740) 507-4014

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-01-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240106000097IMental Health CounselorOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 43055)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7810217536View full group profile
NameSpecialtyState
Mental Health CounselorOH
Clinical PsychologistOH
Mental Health CounselorOH
Clinical Social WorkerOH
Clinical Social WorkerOH
Mental Health CounselorOH
Nurse PractitionerOH
Clinical PsychologistOH
Clinical Social WorkerOH
Clinical Social WorkerOH

Reviews

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Frequently asked questions

What NPI should I save for KATHLEEN R. HOLMES?
Save NPI 1508992876 if you need a stable reference for KATHLEEN R. HOLMES.
Does this profile mean KATHLEEN R. HOLMES is currently active?
Yes — KATHLEEN R. HOLMES appears active in the national provider directory.
Does KATHLEEN R. HOLMES list a primary specialty?
If you are matching referrals, note Professional Counselor for KATHLEEN R. HOLMES. Clinical services aligned with this taxonomy classification.
Where does public data place KATHLEEN R. HOLMES?
The snapshot lists Newark, Ohio for KATHLEEN R. HOLMES; download NPPES for the complete set.
What if Newark, Ohio seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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