LISA MARIE HIGGINSON LPC
NPI 1750856050
Counselor - Professional in Gilbert, AZ
NPI Status: Active since October 12, 2018
Contact Information
1425 W ELLIOT RD STE 201
GILBERT, AZ
ZIP 85233
Phone: (480) 223-0223
- Individual
- Female
- Counselor
- Professional
- Accepts Insurance
- Opted-Out Medicare
About LISA HIGGINSON
This page provides the complete NPI Profile along with additional information for Lisa Higginson, a provider established in Gilbert, Arizona with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1750856050 assigned on October 2018. The practitioner's primary taxonomy code is 101YP2500X. The provider is registered as an individual and her NPI record was last updated 2 years ago.
- NPI
- 1750856050
- Provider Name
- LISA MARIE HIGGINSON LPC
- Other Name
- LISA MARIE DODGION
- Other Name Type
- Former Name (1)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1425 W ELLIOT RD STE 201 GILBERT, AZ 85233
- Location Phone
- (480) 223-0223
- Mailing Address
- 1525 S HIGLEY RD GILBERT, AZ 85296
- Mailing Phone
- (480) 702-1135
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-12-2018
- Last Update Date
- 06-28-2023
- Code Navigator
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Lisa Higginson opted out of Medicare effective on 01-01-2024 until 01-01-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.
Location Map
Secondary Locations
- 1195 E Frances Ln
Gilbert, AZ 85295
(480) 702-1135
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Professional
- Taxonomy Code
- 101YP2500X
- Type
- Behavioral Health & Social Service Providers
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101Y00000X | Behavioral Health & Social Service Providers | Counselor | |
| 2 | 106H00000X | Behavioral Health & Social Service Providers | Marriage & Family Therapist |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue AdvanceHealth Bronze - Neighborhood Network - HMO
- Blue AdvanceHealth Gold - Neighborhood Network - HMO
- Blue AdvanceHealth Silver - Neighborhood Network - HMO
- Blue EverydayHealth Gold - Neighborhood Network - HMO
- Blue EverydayHealth Silver - Neighborhood Network - HMO
- Blue Portfolio HSA Bronze - Neighborhood Network - HMO
- Blue Portfolio HSA Gold - Statewide PPO Network - PPO
- Blue PPO PremierHealth Silver - Statewide PPO Network - PPO
- Blue PPO PremierHealth Gold - Statewide PPO Network - PPO
- Blue PPO StandardHealth Gold - Statewide PPO Network - PPO
- Blue PPO StandardHealth Silver - Statewide PPO Network - PPO
- Blue StandardHealth Bronze - Neighborhood Network - HMO
- Blue StandardHealth Gold - Neighborhood Network - HMO
- Blue StandardHealth Silver - Neighborhood Network - HMO
- Connect Bronze 6800 Indiv Med Deductible - HMO
- Connect Bronze 8900 Indiv Med Deductible - HMO
- Connect Bronze CMS Standard - HMO
- Connect Gold 2500 Indiv Med Deductible - HMO
- Connect Gold CMS Standard - HMO
- Connect Silver 4000 Indiv Med Deductible - HMO
- Connect Silver 5000 Indiv Med Deductible - HMO
- Connect Silver CMS Standard - HMO
- Bronze Classic 4700 - HMO
- Bronze Classic Standard - HMO
- Bronze Elite + PCP Saver Plus - HMO
- Gold Classic - HMO
- Gold Classic Standard - HMO
- Secure - HMO
- Silver Classic Standard - HMO
- Silver Elite Saver Plus - HMO
- Silver Simple Chronic Care CKM - HMO
- Silver Simple PCP Saver - HMO
- Silver Simple Specialist Saver with COPD - HMO
- UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care) - HMO
- UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision) - HMO
- UHC Bronze Standard - HMO
- UHC Bronze Value ($0 Virtual Urgent Care) - HMO
- UHC Bronze Value+ ($0 Virtual Urgent Care, Dental + Vision) - HMO
- UHC Gold Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO
- UHC Gold Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision) - HMO
- UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO
- UHC Gold Standard - HMO
- UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO
- UHC Silver Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision) - HMO
- UHC Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care) - HMO
- UHC Silver Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision) - HMO
- UHC Silver Standard - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 01-01-2024
Opt-Out End Date: 01-01-2026
Eligible to Order and Refer? No
Reviews for LISA MARIE HIGGINSON LPC
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 5 | 0 | 8 | 5 | 6 | 0 | 5 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 10 | 0 | 16 | 5 | 12 | 0 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 0 + 0 + 1 + 6 + 5 + 1 + 2 + 0 + 1 + 0 + 24 = 50 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1750856050 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1174073944 | MS. ILISA J. KEITH MA, LAC Individual | Counselor (Professional) | 1425 W ELLIOT RD STE 201 GILBERT, AZ 85233 (602) 399-7871 |
| 1821563198 | RASHA GARDNER LAC Individual | Counselor (Mental Health) | 1425 W ELLIOT RD STE 201 GILBERT, AZ 85233 (480) 225-2744 |
| 1629472592 | CALLY SKALKO Individual | Counselor (Mental Health) | 1425 W ELLIOT RD STE 201 GILBERT, AZ 85233 (480) 223-0225 |
| 1487128781 | DOE DAUGHTREY LMSW Individual | Social Worker | 1425 W ELLIOT RD STE 201 GILBERT, AZ 85233 (480) 462-5446 |
| 1992344337 | KRISTEN MOLESKI LAC Individual | Counselor (Mental Health) | 1425 W ELLIOT RD STE 201 GILBERT, AZ 85233 (480) 270-4748 |
| 1356981864 | ALICIA TEQUIDA LAC Individual | Counselor (Mental Health) | 1425 W ELLIOT RD STE 201 GILBERT, AZ 85233 (480) 223-0223 |
| 1750901591 | ERIKA CHRISTIAN Individual | Counselor (Mental Health) | 1425 W ELLIOT RD STE 201 GILBERT, AZ 85233 (480) 223-0223 |
| 1780209700 | PAMELA PEREZ Individual | Counselor (Mental Health) | 1425 W ELLIOT RD STE 201 GILBERT, AZ 85233 (602) 589-2251 |
| 1770108748 | JUSTIN GREER MS, LAC, NCC Individual | Counselor (Mental Health) | 1425 W ELLIOT RD STE 201 GILBERT, AZ 85233 (602) 753-6881 |
| 1093331829 | ANALYNDA HOFMANN Individual | Counselor (Mental Health) | 1425 W ELLIOT RD STE 201 GILBERT, AZ 85233 (480) 221-5391 |
| 1710597851 | STEPHANIE S DE LA GARZA Individual | Counselor (Mental Health) | 1425 W ELLIOT RD STE 201 GILBERT, AZ 85233 (480) 223-0223 |
| 1073111266 | LIBBIE HENRIE Individual | Counselor (Mental Health) | 1425 W ELLIOT RD STE 201 GILBERT, AZ 85233 (480) 334-7294 |
| 1376130013 | JOHN J JAKSICH LAC Individual | Counselor (Professional) | 1425 W ELLIOT RD STE 201 GILBERT, AZ 85233 (480) 223-0223 |
| 1598334765 | NATALIE MARTIN MS, LAC Individual | Counselor (Mental Health) | 1425 W ELLIOT RD STE 201 GILBERT, AZ 85233 (480) 442-8806 |
| 1083254379 | BRINA LYNN HENRY L.P.C. Individual | Counselor (Mental Health) | 1425 W ELLIOT RD STE 201 GILBERT, AZ 85233 (480) 427-0332 |
| 1336806199 | ANDREA KHALIFE Individual | Counselor (Mental Health) | 1425 W ELLIOT RD STE 201 GILBERT, AZ 85233 (480) 223-0223 |
| 1194416388 | SAMANTHA CHRISTINE CLAY LAC Individual | Counselor (Mental Health) | 1425 W ELLIOT RD STE 201 GILBERT, AZ 85233 (480) 223-0223 |
| 1598458507 | REBECCA CHMIEL MA LAC Individual | Counselor (Mental Health) | 1425 W ELLIOT RD STE 201 GILBERT, AZ 85233 (480) 223-0223 |
| 1265111538 | AMY PHARISS Individual | Counselor (Mental Health) | 1425 W ELLIOT RD STE 201 GILBERT, AZ 85233 (480) 223-0223 |
| 1417638446 | BENJAMIN ALLEN PRICE LAC Individual | Counselor (Mental Health) | 1425 W ELLIOT RD STE 201 GILBERT, AZ 85233 (480) 223-0223 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1750856050, enumerated in the NPI registry as an "individual" on October 12, 2018
The provider is located at 1425 W Elliot Rd Ste 201 Gilbert, Az 85233 and the phone number is (480) 223-0223
The provider's speciality is Counselor with taxonomy code 101YP2500X with a focus in Professional
The provider might be accepting Accepts: BannerAetna, Blue Cross Blue Shield of Arizona,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
No, the provider signed an affidavit on January 01, 2024 to opt-out of the Medicare program. The provider is excluded from the Medicare program until January 01, 2026.
This NPI record was last updated on October 12, 2018. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.