Active NPI
Jennifer Lynn Higgins, LPC
- Professional Counselor
- Burlington, CO
National Provider Identifier
1598116451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- 1371 Rose Ave Side Entrance
Burlington, CO 80807-1601 - Phone
- (719) 497-9219
- NPI assigned
- Jun 22, 2016
- Last updated
- Jun 15, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | C.0800289 | OH | |
| Counselor | 101Y00000X | LPC.0014534 | CO | |
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
1371 Rose Ave Side Entrance
Burlington, CO 80807-1601
Mailing address
PO Box 32
Idalia, CO 80735-0032
Phone (440) 670-0934
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Idalia | Direct | |
| Other URL | fax | Health Information Exchange (HIE) |
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 |
|---|---|---|---|
| LPC.0014534 | CO | MD | Counselor |
| C.0800289 | OH | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifeline to Freedom, LLC | Professional | Current | Accepting new patients |
Locations
1371 Rose Ave
Burlington, CO 80807
Phone (720) 231-0353
1371 Rose Ave
Side Entrance
Burlington, CO 80807
Phone (719) 497-9219
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592179200000",
"number": "1598116451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 32",
"city": "IDALIA",
"state": "CO",
"postal_code": "807350032",
"telephone_number": "440-670-0934",
"fax_number": "719-960-2813"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1371 ROSE AVE SIDE ENTRANCE",
"city": "BURLINGTON",
"state": "CO",
"postal_code": "808071601",
"telephone_number": "719-497-9219"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HIGGINS",
"first_name": "JENNIFER",
"middle_name": "LYNN",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-06-22",
"last_updated": "2020-06-15",
"certification_date": "2020-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "OH",
"license": "C.0800289",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "CO",
"license": "LPC.0014534",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Idalia",
"affiliation": "N",
"endpointDescription": "fax",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "mail",
"address_1": "28439 County Road 7",
"city": "Idalia",
"state": "CO",
"country_code": "US",
"postal_code": "807359659",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "fax",
"affiliation": "N",
"endpointDescription": "Hppa Compliant fax",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "28439 County Road 7",
"city": "Idalia",
"state": "CO",
"country_code": "US",
"postal_code": "807359659",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.