Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1689452526 Individual Practitioner Female Practitioner

Kathleen A Higginbotham , LICSW

Counselor • Providence, RI

Professional Overview & Biography Verified Profile Summary

Kathleen Higginbotham, LICSW is a registered healthcare professional specializing in Counselor in Providence, RI. Practice services are available at 164 SUMMIT AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

164 Summit Ave

Providence, RI 029062894

Telephone 4017932078
Associated Practice Facility / Clinic
🏢 The Miriam Hospital Facility NPI 1487649430

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Providence, RI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.0 Yrs
State Avg: 20.7 Yrs
Regional Practice Density
137 Specialists

Practicing in Providence, RI (429 Statewide)

Telehealth Adoption Rate
0.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-09-21
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

State License RI ISW01149

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Halina Kuc-Mazgaj

Nurse Practitioner - Family

NPI 1003103185
Dr. Karl Herman , MD

Internal Medicine

NPI 1003253063

Doctor of Medicine (M.D.)

Dr. Muhammad Baig , MD

Internal Medicine - Cardiovascular Disease

NPI 1003256587

Doctor of Medicine (M.D.)

Leanne Laparle , LICSW

Social Worker - Clinical

NPI 1003512583

Licensed Independent Clinical Social Worker

Dr. Thomas Crain , MD

Internal Medicine - Cardiovascular Disease

NPI 1003871856

Doctor of Medicine (M.D.)

Dr. James Atkinson , MD

Internal Medicine

NPI 1003894825

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active September 21, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location September 21, 2023

Registered at 164 SUMMIT AVE, PROVIDENCE, RI 029062894 (Tel: 4017932078)

📍
Updated Business Mailing Address September 21, 2023

Registered at 164 SUMMIT AVE, PROVIDENCE, RI 029062894 (Tel: 4017932078)

👤
Provider Name / Credentials Updated September 21, 2023

Recorded as KATHLEEN HIGGINBOTHAM, LICSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 21, 2023

Counselor (License #ISW01149 in RI)

🟢
Initial NPI Registration & Enumeration September 21, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1689452526
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 21, 2023
Last Update: September 21, 2023
Sole Proprietor: Yes

Mailing Address

164 Summit Ave

Providence, RI 029062894

Phone: 4017932078

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.