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

Mark Leonard Holloway, LLPC

Individual provider Professional Counselor · NPI 1952805830

Mark Leonard Holloway, LLPC is a Mental Health Counselor in Jenison, Michigan. Qualified in 2017, 9 years ago. Practices with Second Story Counseling II LLC, an 18-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
9
Licensed in
MI
In the registry since
2018
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Practice location Address checks out

1675 Baldwin St
Jenison, MI 49428-8912
Phone: (616) 426-9034
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 6401016504 (MI)

Record details

NPI number1952805830
Entity typeIndividual (Type 1)
GenderMale
Credentials LLPC
Sole proprietorYes
NPI enumeratedMarch 23, 2018
Last updated in NPPESApril 8, 2020
Certification dateApril 8, 2020
Mailing address1675 Baldwin St, Jenison, MI 49428-8912

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Second Story Counseling Ii Llc — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Jenison