Active NPI
Andrea Suzanne Higgins, LCPC
- Professional Counselor
- Boise, ID
National Provider Identifier
1861139834
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 8722
- Practice address
- 4477 W Emerald St Ste C225
Boise, ID 83706-2076 - Phone
- (713) 320-4349
- Fax
- (208) 318-0218
- NPI assigned
- May 19, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 8722 | ID | Primary |
Addresses
Primary practice location
4477 W Emerald St Ste C225
Boise, ID 83706-2076
Mailing address
1901 N 23Rd St
Boise, ID 83702-0520
Phone (713) 320-4349
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 |
|---|---|---|---|
| 8722 | ID | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652918400000",
"number": "1861139834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1901 N 23RD ST",
"city": "BOISE",
"state": "ID",
"postal_code": "837020520",
"telephone_number": "713-320-4349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4477 W EMERALD ST STE C225",
"city": "BOISE",
"state": "ID",
"postal_code": "837062076",
"telephone_number": "713-320-4349",
"fax_number": "208-318-0218"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HIGGINS",
"first_name": "ANDREA",
"middle_name": "SUZANNE",
"credential": "LCPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-05-19",
"last_updated": "2022-05-19",
"certification_date": "2022-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "ID",
"license": "8722",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.