Active NPI
Marvin Kent Holcomb II, LCMHC
- Professional Counselor
- Lenoir, NC
National Provider Identifier
1255032389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- A18416
- Practice address
- 2415 Morganton Blvd SW Ste 100
Lenoir, NC 28645-9691 - Phone
- (828) 394-5563
- NPI assigned
- Mar 15, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | A18416 | NC | Primary |
Addresses
Primary practice location
2415 Morganton Blvd SW Ste 100
Lenoir, NC 28645-9691
Mailing address
2415 Morganton Blvd SW Ste 100
Lenoir, NC 28645-9691
Phone (828) 394-5563
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2415 Morganton Blvd SW
Lenoir, NC 28645-9691
Phone (828) 394-5563
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A18416 | NC | MD | Professional Counselor |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Concord, NC
- NPI 1447376306
-
- Community/Behavioral Health Agency
- Whiteville, NC
- NPI 1700318680
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678838400000",
"number": "1255032389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2415 MORGANTON BLVD SW STE 100",
"city": "LENOIR",
"state": "NC",
"postal_code": "286459691",
"telephone_number": "828-394-5563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2415 MORGANTON BLVD SW STE 100",
"city": "LENOIR",
"state": "NC",
"postal_code": "286459691",
"telephone_number": "828-394-5563"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLCOMB",
"first_name": "MARVIN",
"middle_name": "KENT",
"name_suffix": "II",
"credential": "LCMHC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-03-15",
"last_updated": "2023-03-15",
"certification_date": "2023-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "A18416",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lenoir, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.