Active NPI
Taylor Linnea Ann Higgins
- Professional Counselor
- San Bernardino, CA
National Provider Identifier
1679958094
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPCC7465
- Practice address
- 2080 S E St Ste 100
San Bernardino, CA 92408-2706 - Phone
- (093) 889-1919
- Fax
- (909) 388-9195
- NPI assigned
- Jul 27, 2015
- Sex
- Female
- Sole proprietor
- No
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 | 1585 | CA | |
| Mental Health Counselor | 101YM0800X | 7465 | CA | |
| Professional Counselor | 101YP2500X | LPCC7465 | CA | Primary |
Addresses
Primary practice location
2080 S E St Ste 100
San Bernardino, CA 92408-2706
Mailing address
9500 Haven Ave
Suite 100
Rancho Cucamonga, CA 91730-5807
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 |
|---|---|---|---|
| 1585 | CA | MD | Mental Health Counselor |
| LPCC7465 | CA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646611200000",
"number": "1679958094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9500 HAVEN AVE",
"address_2": "SUITE 100",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917305807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2080 S E ST STE 100",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924082706",
"telephone_number": "093-889-1919",
"fax_number": "909-388-9195"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HIGGINS",
"first_name": "TAYLOR",
"middle_name": "LINNEA ANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-27",
"last_updated": "2022-03-07",
"certification_date": "2021-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "1585",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "7465",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "LPCC7465",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Bernardino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.