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MRS. MADISON BLAKE HOLLOWAY LPC
NPI 1790616043
Counselor - Professional in Manahawkin, NJ

Active since May 26, 2026PECOS Enrolled
536 CORAL LN, MANAHAWKIN, NJ 08050(848) 666-0264 Get Directions Write a Review

NPPES record last updated: May 26, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Mrs. Madison Blake Holloway Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. MADISON BLAKE HOLLOWAY LPC (NPI 1790616043) is an individual professional provider in Manahawkin, New Jersey, licensed in New Jersey (37PC01270200) and active in the NPI registry since May 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1790616043
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. MADISON BLAKE HOLLOWAYCredential: LPC
Location Address536 CORAL LNManahawkin, NJ 08050-2124
Mailing Address536 Coral LnManahawkin, NJ 08050-2124 · (848) 666-0264
Phone(848) 666-0264
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMay 26, 2026
NPPES CertifiedMay 26, 2026
✔ NPI 1790616043 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in NJ · 37PC01270200
536 CORAL LN, Manahawkin, NJ 08050
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Other Names 1

Former Name (1)Miss Madison Demand Lac

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Madison Blake Holloway Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8224500533
PECOS Enrollment IDI20260617004753
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Madison Holloway's NPI number?

The NPI number for Madison Holloway is 1790616043. It was assigned to this individual provider in the NPPES registry on May 26, 2026. The provider is also known as Miss Madison Demand Lac.

Where is Madison Holloway located?

Madison Holloway practices at 536 Coral Ln, Manahawkin, NJ 08050. The listed phone number is (848) 666-0264.

What is Madison Holloway's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Madison Holloway enrolled in Medicare?

Yes. Madison Holloway is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Madison Holloway was last updated on May 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.