Loukisha Monique Roberts-Higgenbotham, DNP, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

285428 Issued in AZ

Practice address

243 W Main St
Swainsboro, GA 30401-3163

Phone

(478) 237-2484

Fax

(478) 237-7541

NPI assigned

Dec 30, 2014

Last updated

May 19, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ, TX2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Foothills Psychiatric Services PLLCGroup PAC ID 6901236512, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Foothills Psychiatric Services PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Mesa, AZ
  • NPI 1750901088

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Family Health & Spinal Rejuvenation Clinic LLC

  • Chiropractor
  • Desoto, TX
  • NPI 1336601947

  Single Specialty

  Medicare reassignment NPD
• Grand Canyon Psychiatric Services PLLC

  dba Grand Canyon Psychiatric Services

  • Psychiatric/Mental Health Nurse Practitioner
  • San Tan Valley, AZ
  • NPI 1609571173

  Single Specialty

  Medicare reassignment NPD
• Serving Hands LLC

  • Multi-Specialty Clinic/Center
  • Phoenix, AZ
  • NPI 1679286124
  Medicare reassignment
• Sycamore Integrated Health LLC

  • Adult Day Care Clinic/Center
  • Mesa, AZ
  • NPI 1205426053

  Single Specialty

  NPD

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

{
    "created_epoch": "1419897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747612800000",
    "number": "1235527144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "538 W COMMERCE ST STE 4350",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752081921",
            "telephone_number": "478-285-9950",
            "fax_number": "672-682-2064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "243 W MAIN ST",
            "city": "SWAINSBORO",
            "state": "GA",
            "postal_code": "304013163",
            "telephone_number": "478-237-2484",
            "fax_number": "478-237-7541"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1921 S Alma School Rd Ste 312",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852103039",
            "country_code": "US",
            "telephone_number": "480-608-4877",
            "fax_number": "480-608-6878",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "538 W Commerce St Ste 4350",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752081921",
            "country_code": "US",
            "telephone_number": "478-285-9950",
            "fax_number": "672-682-2064",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTS-HIGGENBOTHAM",
        "first_name": "LOUKISHA",
        "middle_name": "MONIQUE",
        "name_prefix": "Mrs.",
        "credential": "DNP, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-30",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1034108",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "RN232719",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "285428",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN232719",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Marie Ray, OTR/L
• James L Ray, MD
• Retirement Inn LLC
• S Diane Rickert, MD
• Rachel Anne Relucio Rivera
• Polly Robinson, FNP
• Darcy Rodgerson
• Erin Rogers
• Tara Rogers, ATC
• Julia Nelle Rountree, ED.D, CCC-SLP

• Psychiatric/Mental Health Nurse Practitioner in Swainsboro, GA
• Providers in Swainsboro, GA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.