MARK LEONARD HOLLOWAY LLPC
NPI 1952805830
Counselor - Professional in Jenison, MI
About Mark Leonard Holloway Llpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARK LEONARD HOLLOWAY LLPC (NPI 1952805830) is an individual professional provider in Jenison, Michigan, licensed in Michigan (6401016504) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2017).
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 and accepts Medicare assignment
Mark Leonard Holloway Llpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Mark Holloway reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Hudsonville, MI 49426
- Reassigned Medicare billing, Michigan enrollment
- 36 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 Mark Holloway's NPI number?
The NPI number for Mark Holloway is 1952805830. It was assigned to this individual provider in the NPPES registry on March 23, 2018.
Where is Mark Holloway located?
Mark Holloway practices at 1675 Baldwin St, Jenison, MI 49428. The listed phone number is (616) 426-9034.
What is Mark Holloway's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Mark Holloway enrolled in Medicare?
Yes. Mark Holloway is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Mark Holloway's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mark Holloway reassigns Medicare benefits to Second Story Counseling II LLC (Hudsonville, MI). 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 Mark Holloway's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mark Holloway accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Oscar Insurance Company and Priority Health and 1 other insurer list Mark 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 Mark Holloway was last updated on April 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.
# Mark Leonard Holloway, LLPC · NPI 1952805830
Professional provider in Jenison, Michigan. Individual provider, active in the CMS NPPES registry since March 23, 2018.
## Identity
- **NPI:** 1952805830 (Entity type: Individual)
- **Enumerated:** March 23, 2018
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 6401016504 (Michigan)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1675 BALDWIN ST, Jenison, MI 49428-8912
- **Phone:** (616) 426-9034
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Second Story Counseling II LLC (NPI 1013460716, Hudsonville, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** April 8, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1952805830) · Data from the CMS NPPES public registry.