Individual provider Active NPI

Jillaine Helen Higgins, LAMFT

  • Marriage & Family Therapist
  • Hibbing, MN
National Provider Identifier
1669114955
Registry record updated Jul 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
4104 Issued in MN
Practice address
3709 1St Ave
Hibbing, MN 55746-2901
Phone
(218) 263-1347
Fax
(218) 263-3241
NPI assigned
Apr 8, 2022
Last updated
Jul 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 4104 MN Primary

Addresses

Primary practice location

3709 1St Ave
Hibbing, MN 55746-2901

Mailing address

202 E Howard St
Hibbing, MN 55746-1736
Phone (218) 263-1347

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240724004215 MN Practitioner - Marriage and Family Therapist 0840736997 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Heartwood Center for Child and Family Therapy LLCGroup PAC ID 0143580357, 4 clinicians

Practice addresses (Care Compare)

3709 1St Ave
Hibbing, MN 55746-2901
Phone (218) 263-1347

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4104MNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Heartwood Center for Child and Family Therapy, LLC Marriage & Family Therapist CurrentSince May 13, 2024 Accepting new patients

Locations

202 E Howard St
Hibbing, MN 55746
Phone (218) 263-1347

3709 1st Ave
Hibbing, MN 55746
Phone (218) 263-1347

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": "1649376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1669114955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 E HOWARD ST",
            "city": "HIBBING",
            "state": "MN",
            "postal_code": "557461736",
            "telephone_number": "218-263-1347",
            "fax_number": "218-263-3241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3709 1ST AVE",
            "city": "HIBBING",
            "state": "MN",
            "postal_code": "557462901",
            "telephone_number": "218-263-1347",
            "fax_number": "218-263-3241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIGGINS",
        "first_name": "JILLAINE",
        "middle_name": "HELEN",
        "credential": "LAMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-08",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "4104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hibbing, MN

Sources for this page

Verify at the official NPI Registry.