KELLY HOLDER-COBURN (LPC, LICDC) – Professional Counselor, NPI 1821523259
Professional Counselor
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for KELLY HOLDER-COBURN (LPC, LICDC)
7015 SPRING MEADOWS WEST
SUITE 102
HOLLAND, OH 43528
Phone: (419) 491-1180
Fax: (419) 491-1181
Type: Mailing
222, Center Street, Findlay Downtown Historic District, Findlay, Hancock County, Ohio, 45840, United States
FINDLAY, OH 45840
Phone: (419) 672-9659
Fax: (419) 422-7781
Type: Location
535 E 4TH ST
DELPHOS, OH 458331504
Phone: (419) 979-8944
Type: Mailing
206 E MARKET ST
LIMA, OH 458014914
Phone: (937) 387-6395
Type: Location
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: 2024-04-26
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240426000942 | I | Mental Health Counselor | OH | TBD |
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.
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 43528)
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