Provider Demographics
NPI:1568418598
Name:HIGUCHI, RIEKO (LMHC, CAP, CST)
Entity Type:Individual
Prefix:MS
First Name:RIEKO
Middle Name:
Last Name:HIGUCHI
Suffix:
Gender:F
Credentials:LMHC, CAP, CST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:655 W 8TH ST
Mailing Address - Street 2:UF HEALTH, CLINICAL CENTER, 3RD FLOOR
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32209-6511
Mailing Address - Country:US
Mailing Address - Phone:904-244-2120
Mailing Address - Fax:904-244-2896
Practice Address - Street 1:655 W 8TH ST
Practice Address - Street 2:UF HEALTH, CLINICAL CENTER, 3RD FLOOR
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32209-6511
Practice Address - Country:US
Practice Address - Phone:904-244-2120
Practice Address - Fax:904-244-2896
Is Sole Proprietor?:No
Enumeration Date:2006-05-25
Last Update Date:2015-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH7307101YM0800X
FLCAP 5998101YA0400X
FLSEX THERAPIST101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL766835000Medicaid
FL015586600Medicaid