MRS. MADISON BLAKE HOLLOWAY LPC
NPI 1790616043
Counselor - Professional in Manahawkin, NJ
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
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Madison Blake Holloway Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Madison Holloway reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
East Windsor, NJ 08520
- Reassigned Medicare billing, New Jersey 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.
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.
Which organization bills Medicare for Madison Holloway's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Madison Holloway reassigns Medicare benefits to Better Be Blake Therapy (East Windsor, NJ). 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 Madison Holloway's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 5 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.
# Mrs. Madison Blake Holloway, LPC · NPI 1790616043
Professional provider in Manahawkin, New Jersey. Individual provider, active in the CMS NPPES registry since May 26, 2026.
## Identity
- **NPI:** 1790616043 (Entity type: Individual)
- **Enumerated:** May 26, 2026
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 37PC01270200 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 536 CORAL LN, Manahawkin, NJ 08050-2124
- **Phone:** (848) 666-0264
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Better Be Blake Therapy (NPI 1487345955, East Windsor, NJ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** May 26, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1790616043) · Data from the CMS NPPES public registry.