Individual provider Active NPI

Shirley Kay Higgins, MA, MFT, LADC

  • Addiction (Substance Use Disorder) Counselor
  • Manchester, CT
National Provider Identifier
1073807277
Registry record updated Jun 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
000854 Issued in CT
Practice address
519 Center St
Manchester, CT 06040-3903
Phone
(860) 647-1324
NPI assigned
Jun 6, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 000854 CT Primary

Addresses

Primary practice location

519 Center St
Manchester, CT 06040-3903

Mailing address

519 Center St
Manchester, CT 06040-3903
Phone (860) 647-1324

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240503001282 CT Practitioner - Marriage and Family Therapist 0244670545 Practice locations: Manchester, CT
I20250808000189 FL Practitioner - Marriage and Family Therapist 0244670545 Practice locations: Fort Walton Beach, FL

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2018 Lewis Turner Blvd
Suite C
Fort Walton Beach, FL 32547-1352
Phone (860) 995-6688

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1307318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307318400000",
    "number": "1073807277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 CENTER ST",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060403903",
            "telephone_number": "860-647-1324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 CENTER ST",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060403903",
            "telephone_number": "860-647-1324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIGGINS",
        "first_name": "SHIRLEY",
        "middle_name": "KAY",
        "credential": "MA, MFT, LADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-06",
        "last_updated": "2011-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CT",
            "license": "000854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, CT

Sources for this page

Verify at the official NPI Registry.