Holly L Paine, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

3462 Issued in KS

Practice address

3446 S Ida Ave
Wichita, KS 67216-1558

Phone

(316) 285-0857

Fax

(316) 330-3985

NPI assigned

Mar 5, 2019

Last updated

Apr 10, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Holly L Holmes Former name

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

Specialty

Mental Health Counselor

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1551744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681084800000",
    "number": "1376001677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3446 S IDA AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672161558",
            "telephone_number": "316-285-0857",
            "fax_number": "316-330-3985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3446 S IDA AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672161558",
            "telephone_number": "316-285-0857",
            "fax_number": "316-330-3985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAINE",
        "first_name": "HOLLY",
        "middle_name": "L",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-05",
        "last_updated": "2023-04-10",
        "certification_date": "2023-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KS",
            "license": "3462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HOLLY",
            "last_name": "HOLMES",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michael Page, MD
• Samuel Page, DPT, PT
• Lindsay Pahls, PA-C
• Pain Management Associates LC
• Pain Relievers, Inc (Pain Relievers Store)
• Jewel Stevens Paine, LMFT
• Arraya Paksin-Hall, O.D.
• Katelyn Palacioz
• William M Palko, MD
• Elisa Pallares Vela, MD

• Professional Counselor in Wichita, KS
• Providers in Wichita, KS by specialty
• Professional Counselor in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.

Verify at the official NPI Registry.