Individual provider Active NPI

Jeffery Leroy Holcomb, LPCC

  • Counselor
  • Avon, OH
National Provider Identifier
1710278866
Registry record updated Mar 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
E.2606420 Issued in OH
Practice address
37231 Colorado Ave Ste 265
Avon, OH 44011-1527
Phone
(440) 260-6161
NPI assigned
Apr 25, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X E.2606420 OH Primary

Addresses

Primary practice location

37231 Colorado Ave Ste 265
Avon, OH 44011-1527

Mailing address

33188 Electric Blvd
Avon Lake, OH 44012-1320
Phone (440) 933-8820

Other names 1

  • Mr. Jeff L Holcomb Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20260414002007 OH Practitioner - Mental Health Counselor 9032685458 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2006
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

21887 Lorain Rd
Suite 226
Fairview Park, OH 44126-3330

PO Box
Suite 24242
Cleveland, OH 44124-0242

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E.2606420OHMDCounselor

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": "1303689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773100800000",
    "number": "1710278866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33188 ELECTRIC BLVD",
            "city": "AVON LAKE",
            "state": "OH",
            "postal_code": "440121320",
            "telephone_number": "440-933-8820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37231 COLORADO AVE STE 265",
            "city": "AVON",
            "state": "OH",
            "postal_code": "440111527",
            "telephone_number": "440-260-6161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLCOMB",
        "first_name": "JEFFERY",
        "middle_name": "LEROY",
        "name_prefix": "Mr.",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-25",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "E.2606420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEFF",
            "last_name": "HOLCOMB",
            "middle_name": "L",
            "prefix": "MR.",
            "credential": "MA LPCC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Avon, OH

Sources for this page

Verify at the official NPI Registry.