Amy M Higginbotham, MS
Individual provider Active NPI Mental Health Counselor · Green Lake, WI
NPI 1104125020 · NPPES record last updated Mar 17, 2011
Key facts
- NPI
- 1104125020
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 571 County Road a
Green Lake, WI 54941-8630 - Phone
- (920) 294-4070
- Fax
- (920) 294-4139
- NPI assigned
- Mar 17, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 15
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Bellin Memorial Hospital Inc
Practice addresses (Care Compare)
311 N 3Rd Ave
Sturgeon Bay, WI 54235-2401
Phone (920) 445-7226
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240103004390 | WI | Practitioner - Mental Health Counselor | 1456702471 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bellin Memorial Hospital Inc | Current |
Accepting new patients | |
| Bellin Psychiatric Center Inc | Current |
Accepting new patients | |
| Bellin Psychiatric Center Inc. | Mental Health | Current |
Accepting new patients |
| Bellin Memorial Hospital Inc | Current | Accepting new patients | |
| Bellin Memorial Hospital Inc | Current |
Accepting new patients | |
| County of Green Lake | Past |
Accepting new patients | |
| County of Green Lake | Past |
Accepting new patients |
Locations
744 S Webster Ave
Green Bay, WI 54301
Phone (920) 433-6025
301 Saint Joseph St
Green Bay, WI 54301
Phone (920) 430-3630
311 N 3rd Ave
Sturgeon Bay, WI 54235
Phone (920) 433-6050
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
571 County Road a
Green Lake, WI 54941-8630
Mailing address
PO Box 588
Green Lake, WI 54941-0588
Phone (920) 294-4070
Other names
- Amy M Baudhuin
Other providers in Green Lake, WI
- Green Lake School District
- Hagen Chiropractic, LTD.
- Kellie Elizabeth Helmer
- Trina Hernandez
- Amanda M Hetzel
- Higher Hope Mental Health, LLC
- Lana Kay Hilbert
- Ruth Alice Holmquist
- Kristle Jackson
- Emily Roth Johnson
All providers in Green Lake, WI · Mental Health Counselor in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.