MR. MICHAEL PETER HIGGINBOTHAM NPI 1538603618

NPI Information

NPI: 1538603618
Provider Name: MR. MICHAEL PETER HIGGINBOTHAM
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

PECOS Registration: Yes

Address:
843 PITTVIEW AVE
CENTRAL POINT, OR
ZIP 97502
Phone: (503) 298-0249
Get Directions

MR. Michael Peter Higginbotham is a mental health counselor in Central Point, OR. MR. Michael Peter Higginbotham NPI is 1538603618. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

843 PITTVIEW AVE
CENTRAL POINT, OR
ZIP 97502-948
Phone: (503) 298-0249
Fax: (541) 386-7982

The NPI 1538603618 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 12/8/2016 and was last updated on 10/25/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)			No
2	101YP2500X	Counselor	Professional	C6150	OREGON	No
3	390200000X	Student in an Organized Health Care Education/Training Program		R4989	OREGON	No
4	101YM0800X	Counselor	Mental Health	C6150	OREGON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	500788866	MEDICAID	OREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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