Individual provider Active NPI

Amanda Linda Higginbotham, MAPC- LPC

  • Professional Counselor
  • Scottsdale, AZ
National Provider Identifier
1235742735
Registry record updated Aug 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
19151 Issued in AZ
Practice address
14350 N Frnkllydw Blvd Ste 10
Scottsdale, AZ 85260-8843
Phone
(602) 576-4459
NPI assigned
Aug 25, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 19151 AZ Primary

Addresses

Primary practice location

14350 N Frnkllydw Blvd Ste 10
Scottsdale, AZ 85260-8843

Mailing address

14350 N Frank Lloyd Wright Blvd Ste 10
Scottsdale, AZ 85260-8843
Phone (602) 576-4459

Other identifiers 1

IdentifierTypeStateIssuer
84-1964155OtherAZCOUNSELING/PSYCHOHTHERAPY

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

LicenseStateTypeSpecialty
19151AZMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1598313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598313600000",
    "number": "1235742735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14350 N FRANK LLOYD WRIGHT BLVD STE 10",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852608843",
            "telephone_number": "602-576-4459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14350 N FRNKLLYDW BLVD STE 10",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852608843",
            "telephone_number": "602-576-4459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIGGINBOTHAM",
        "first_name": "AMANDA",
        "middle_name": "LINDA",
        "name_prefix": "Mrs.",
        "credential": "MAPC- LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-25",
        "last_updated": "2020-08-25",
        "certification_date": "2020-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "19151",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COUNSELING/PSYCHOHTHERAPY",
            "identifier": "84-1964155",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.