Individual provider Active NPI

Mysty Higgins, LPCC

  • Professional Counselor
  • Norwalk, CA
National Provider Identifier
1609386572
Registry record updated Jul 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPCC9657 Issued in CA
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

Updated by the provider on Jul 22, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
4152CAMDMental Health Counselor
APCC4152CAMDProfessional Counselor
LPCC9657CAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.