Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Benjamin Holloway, LCAC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1033075650

Benjamin Holloway, LCAC is a Mental Health Counselor in Hiawatha, Kansas. Qualified in 2020, 6 years ago. Practices as a sole proprietor. Licensed in Kansas.

Years since qualifying
6
Licensed in
KS
In the registry since
2025
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Practice location Address checks out

800 N 6th St
Hiawatha, KS 66434-1717
Phone: (785) 992-1531
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 00914 (KS)

Record details

NPI number1033075650
Entity typeIndividual (Type 1)
GenderMale
Credentials LCAC
Sole proprietorYes
NPI enumeratedDecember 27, 2025
Last updated in NPPESDecember 27, 2025
Certification dateDecember 27, 2025
Mailing addressPo Box 91, Hiawatha, KS 66434-0091

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Hiawatha