Provider Demographics
NPI:1154462919
Name:HIGLER, JENNIFER A (MS, NCC, LCPC, LPC)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:A
Last Name:HIGLER
Suffix:
Gender:F
Credentials:MS, NCC, LCPC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4702 BROOKHAVEN DR
Mailing Address - Street 2:
Mailing Address - City:KOKOMO
Mailing Address - State:IN
Mailing Address - Zip Code:46901-3610
Mailing Address - Country:US
Mailing Address - Phone:719-694-4315
Mailing Address - Fax:
Practice Address - Street 1:4702 BROOKHAVEN DR
Practice Address - Street 2:
Practice Address - City:KOKOMO
Practice Address - State:IN
Practice Address - Zip Code:46901-3610
Practice Address - Country:US
Practice Address - Phone:719-694-4315
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-12
Last Update Date:2018-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC.0012419101YP2500X
NCC1751101YP2500X
MDLC1751101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD11397553OtherCAQH NUMBER
MDLC1751OtherLCPC
75160OtherNCC
COLPC.0012419OtherLPC
MD7472620OtherAETNA PROVIDER NO.
MD11397553OtherCAQH NUMBER
MD75160OtherNCC CERTIFICATION NUMBER