Active NPI
Samantha A Higgins, LPCC
- Mental Health Counselor
- Covington, KY
National Provider Identifier
1063764611
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 104709
- Practice address
- 502 Farrell Dr
Covington, KY 41011-3717 - Phone
- (859) 331-3292
- Fax
- (859) 578-2864
- NPI assigned
- Oct 5, 2012
- Last updated
- Oct 7, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 104709 | KY | Primary |
Addresses
Primary practice location
502 Farrell Dr
Covington, KY 41011-3717
Mailing address
502 Farrell Dr
Covington, KY 41011-3717
Phone (859) 331-3292
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 610661458 | Other | KY | TAX ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 104709 | KY | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tri Change Counseling | Mental Health | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475798400000",
"number": "1063764611",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "502 FARRELL DR",
"city": "COVINGTON",
"state": "KY",
"postal_code": "410113717",
"telephone_number": "859-331-3292",
"fax_number": "859-578-2864"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "502 FARRELL DR",
"city": "COVINGTON",
"state": "KY",
"postal_code": "410113717",
"telephone_number": "859-331-3292",
"fax_number": "859-578-2864"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HIGGINS",
"first_name": "SAMANTHA",
"middle_name": "A",
"credential": "LPCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-05",
"last_updated": "2016-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "KY",
"license": "104709",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "610661458",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Covington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.