Individual provider Active NPI

Paige Kathryn Holcom, LCMFT

  • Marriage & Family Therapist
  • Salina, KS
National Provider Identifier
1306412507
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
03320 Issued in KS
Practice address
809 Elmhurst Blvd
Salina, KS 67401-7405
Phone
(785) 823-6322
Fax
(785) 823-3109
NPI assigned
May 28, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 03320 KS Primary

Addresses

Primary practice location

809 Elmhurst Blvd
Salina, KS 67401-7405

Mailing address

809 Elmhurst Blvd
Salina, KS 67401-7405
Phone (785) 823-6322

Other practice location 1

1600 N Lorraine St Ste 202
Hutchinson, KS 67501-5600
Phone (620) 663-7595

Other identifiers 1

IdentifierTypeStateIssuer
30004756140001MedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250424000103 KS Practitioner - Marriage and Family Therapist 0345766275 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Kansas Mental Health CenterGroup PAC ID 7315921434, 17 clinicians

Practice addresses (Care Compare)

809 Elmhurst Blvd
Salina, KS 67401-7405
Phone (785) 823-6322

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Central Kansas Mental Health Center CurrentSince May 12, 2025 Accepting new patients

Locations

420 NE 10th St
Abilene, KS 67410
Phone (785) 263-3999

1602 Aylward Ave
Ellsworth, KS 67439
Phone (785) 472-3111

114 W Court St
Lincoln, KS 67455
Phone (785) 524-4406

817A Argyle Ave
Minneapolis, KS 67467
Phone (785) 392-2822

809 Elmhurst Blvd
Salina, KS 67401
Phone (785) 823-6322

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1622160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744070400000",
    "number": "1306412507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 ELMHURST BLVD",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674017405",
            "telephone_number": "785-823-6322",
            "fax_number": "785-823-3109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 ELMHURST BLVD",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674017405",
            "telephone_number": "785-823-6322",
            "fax_number": "785-823-3109"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 N Lorraine St Ste 202",
            "address_purpose": "LOCATION",
            "city": "Hutchinson",
            "state": "KS",
            "postal_code": "675015600",
            "country_code": "US",
            "telephone_number": "620-663-7595",
            "fax_number": "620-513-5098",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLCOM",
        "first_name": "PAIGE",
        "middle_name": "KATHRYN",
        "name_prefix": "Mrs.",
        "credential": "LCMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-28",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KS",
            "license": "03320",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30004756140001",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salina, KS

Sources for this page

Verify at the official NPI Registry.