Active NPI
Mysty Higgins, LPCC
- Professional Counselor
- Norwalk, CA
National Provider Identifier
1609386572
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPCC9657
- Practice address
- 11037 Barnwall St Apt 7
Norwalk, CA 90650-6107 - Phone
- (619) 633-6622
- NPI assigned
- Oct 5, 2017
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 4152 | CA | |
| Professional Counselor | 101YP2500X | APCC4152 | CA | |
| Professional Counselor | 101YP2500X | LPCC9657 | CA | Primary |
Addresses
Primary practice location
11037 Barnwall St Apt 7
Norwalk, CA 90650-6107
Mailing address
11037 Barnwall St Apt 7
Norwalk, CA 90650-6107
Phone (619) 633-6622
Other practice location 1
3767 Central Ave
San Diego, CA 92105-2599
Phone (619) 278-0777 ext. 113
Other practice location 2
500 La Terraza Blvd Ste 117
Escondido, CA 92025-3875
Phone (760) 745-0281
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 |
|---|---|---|---|
| 4152 | CA | MD | Mental Health Counselor |
| APCC4152 | CA | MD | Professional Counselor |
| LPCC9657 | CA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Research Foundation Inc | Past | Accepting new patients | |
| Stepping Stone of San Diego, Inc. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Step Forward North Inland
- Community/Behavioral Health Agency
- Escondido, CA
- NPI 1659895340
-
- Substance Abuse Rehabilitation Facility
- San Diego, CA
- NPI 1013045905
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626912000000",
"number": "1609386572",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11037 BARNWALL ST APT 7",
"city": "NORWALK",
"state": "CA",
"postal_code": "906506107",
"telephone_number": "619-633-6622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11037 BARNWALL ST APT 7",
"city": "NORWALK",
"state": "CA",
"postal_code": "906506107",
"telephone_number": "619-633-6622"
}
],
"practiceLocations": [
{
"address_1": "3767 Central Ave",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921052599",
"country_code": "US",
"telephone_number": "619-278-0777 x113",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "500 La Terraza Blvd Ste 117",
"address_purpose": "LOCATION",
"city": "Escondido",
"state": "CA",
"postal_code": "920253875",
"country_code": "US",
"telephone_number": "760-745-0281",
"fax_number": "760-745-0778",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HIGGINS",
"first_name": "MYSTY",
"credential": "LPCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-10-05",
"last_updated": "2021-07-22",
"certification_date": "2021-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "4152",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "APCC4152",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "LPCC9657",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norwalk, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.