Active NPI
Pennie Laine Higdon, MCP, LPC
- Counselor
- Keller, TX
National Provider Identifier
1104765445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 17347
- Practice address
- PO Box 1276
Keller, TX 76244 - Phone
- (817) 528-2672
- Fax
- (817) 704-4080
- NPI assigned
- Mar 25, 2026
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 17347 | TX | Primary |
Addresses
Primary practice location
PO Box 1276
Keller, TX 76244
Mailing address
PO Box 1276
Keller, TX 76244
Phone (817) 528-2672
Other practice location 1
1752 Rio Costilla Rd
Fort Worth, TX 76131-1605
Phone (817) 528-2672
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 |
|---|---|---|---|
| 17347 | TX | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1774396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774396800000",
"number": "1104765445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1276",
"city": "KELLER",
"state": "TX",
"postal_code": "76244",
"telephone_number": "817-528-2672",
"fax_number": "817-704-4080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PO BOX 1276",
"city": "KELLER",
"state": "TX",
"postal_code": "76244",
"telephone_number": "817-528-2672",
"fax_number": "817-704-4080"
}
],
"practiceLocations": [
{
"address_1": "1752 Rio Costilla Rd",
"address_purpose": "LOCATION",
"city": "Fort Worth",
"state": "TX",
"postal_code": "761311605",
"country_code": "US",
"telephone_number": "817-528-2672",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HIGDON",
"first_name": "PENNIE",
"middle_name": "LAINE",
"name_prefix": "Mrs.",
"credential": "MCP, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-03-25",
"last_updated": "2026-03-25",
"certification_date": "2026-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "TX",
"license": "17347",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Keller, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.