Madison Blake Holloway, LPC
NPI 1790616043ActiveIndividual· Counselor, Professional· Manahawkin, NJ
Counselor, Professional (LPC) in Manahawkin, New Jersey, licensed in NJ, with an NPI issued in May 2026. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1790616043 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LPC |
| Sole proprietor | No |
| NPI issued | May 26, 2026 |
| Last updated in NPPES | May 26, 2026 |
| Certified by provider | May 26, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | 37PC01270200 | NJ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Mental Health Counselor (NJ) |
|---|
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Mental Health Counselor |
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