BENJAMIN HOLLOWAY LCAC
NPI 1033075650
Counselor - Addiction (Substance Use Disorder) in Hiawatha, KS
About Benjamin Holloway Lcac NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BENJAMIN HOLLOWAY LCAC (NPI 1033075650) is an individual addiction (substance use disorder) provider in Hiawatha, Kansas, licensed in Kansas (00914) and active in the NPI registry since December 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Benjamin Holloway Lcac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Benjamin Holloway reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Hiawatha, KS 66434
- Reassigned Medicare billing, Kansas enrollment
- 5 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
HIAWATHA, KS 66434
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Benjamin Holloway's NPI number?
The NPI number for Benjamin Holloway is 1033075650. It was assigned to this individual provider in the NPPES registry on December 27, 2025.
Where is Benjamin Holloway located?
Benjamin Holloway practices at 800 N 6th St, Hiawatha, KS 66434. The listed phone number is (785) 992-1531.
What is Benjamin Holloway's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.
Is Benjamin Holloway enrolled in Medicare?
Yes. Benjamin Holloway is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Benjamin Holloway's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Benjamin Holloway reassigns Medicare benefits to Self Connect Wellness, LLC (Hiawatha, KS). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Benjamin Holloway's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Benjamin Holloway accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Ambetter of Oklahoma and Blue Cross and Blue Shield of Kansas, Inc. and 1 other insurer list Benjamin Holloway as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Benjamin Holloway was last updated on December 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Benjamin Holloway, LCAC · NPI 1033075650
Addiction (Substance Use Disorder) provider in Hiawatha, Kansas. Individual provider, active in the CMS NPPES registry since December 27, 2025.
## Identity
- **NPI:** 1033075650 (Entity type: Individual)
- **Enumerated:** December 27, 2025
- **Primary specialty:** Counselor - Addiction (Substance Use Disorder) · taxonomy 101YA0400X
- **State license:** 00914 (Kansas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 800 N 6TH ST, Hiawatha, KS 66434-1717
- **Phone:** (785) 992-1531
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Self Connect Wellness, LLC (NPI 1396601084, Hiawatha, KS), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** December 27, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1033075650) · Data from the CMS NPPES public registry.