Active NPI
Sean Thomas Higgins, LADC, LPCC
- Mental Health Counselor
- Brainerd, MN
National Provider Identifier
1063930238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 5148
- Practice address
- 11615 State Ave
Brainerd, MN 56401-7306 - Phone
- (218) 855-8767
- Fax
- (651) 431-7437
- NPI assigned
- Sep 7, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 4890 | SD | |
| Pharmacist | 183500000X | 116734 | MN | |
| Mental Health Counselor | 101YM0800X | 5148 | MN | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 304904 | MN |
Addresses
Primary practice location
11615 State Ave
Brainerd, MN 56401-7306
Mailing address
11615 State Ave
Brainerd, MN 56401-7306
Phone (218) 855-8767
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5148 | Other | MN | LPCC |
| 304904 | Other | MN | LADC |
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 |
|---|---|---|---|
| 304904 | MN | MD | Addiction (Substance Use Disorder) Counselor |
| 116734 | MN | MD | Pharmacist |
| 5148 | MN | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786924800000",
"number": "1063930238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11615 STATE AVE",
"city": "BRAINERD",
"state": "MN",
"postal_code": "564017306",
"telephone_number": "218-855-8767",
"fax_number": "651-431-7437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11615 STATE AVE",
"city": "BRAINERD",
"state": "MN",
"postal_code": "564017306",
"telephone_number": "218-855-8767",
"fax_number": "651-431-7437"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HIGGINS",
"first_name": "SEAN",
"middle_name": "THOMAS",
"credential": "LADC, LPCC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-09-07",
"last_updated": "2026-08-17",
"certification_date": "2026-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SD",
"license": "4890",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "116734",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MN",
"license": "5148",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MN",
"license": "304904",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LPCC",
"identifier": "5148",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LADC",
"identifier": "304904",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brainerd, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.