Active NPI
Kyle Higgins, RPH, LISW, LICDC
- Counselor
- Lorain, OH
National Provider Identifier
1336599877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 150058
- Practice address
- 2101 Silver Maple Way
Lorain, OH 44053-2380 - Phone
- (440) 830-3405
- Fax
- (440) 808-0800
- NPI assigned
- Jun 15, 2016
- Last updated
- Sep 16, 2019
- Sex
- Male
- 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 | 150058 | OH | Primary |
Addresses
Primary practice location
2101 Silver Maple Way
Lorain, OH 44053-2380
Mailing address
2101 Silver Maple Way
Lorain, OH 44053-2380
Phone (440) 830-3405
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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 150058 | OH | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568592000000",
"number": "1336599877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2101 SILVER MAPLE WAY",
"city": "LORAIN",
"state": "OH",
"postal_code": "440532380",
"telephone_number": "440-830-3405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2101 SILVER MAPLE WAY",
"city": "LORAIN",
"state": "OH",
"postal_code": "440532380",
"telephone_number": "440-830-3405",
"fax_number": "440-808-0800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HIGGINS",
"first_name": "KYLE",
"credential": "RPH, LISW, LICDC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-06-15",
"last_updated": "2019-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "OH",
"license": "150058",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lorain, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.