Active NPI
Amanda Linda Higginbotham, MAPC- LPC
- Professional Counselor
- Scottsdale, AZ
National Provider Identifier
1235742735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 19151
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 84-1964155 | Other | AZ | COUNSELING/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
| License | State | Type | Specialty |
|---|---|---|---|
| 19151 | AZ | MD | Professional 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.