Provider Demographics
NPI:1710381850
Name:HIGH, JEREMY (LSCSW, LCAC)
Entity Type:Individual
Prefix:
First Name:JEREMY
Middle Name:
Last Name:HIGH
Suffix:
Gender:M
Credentials:LSCSW, LCAC
Other - Prefix:
Other - First Name:JEREMY
Other - Middle Name:HIGH
Other - Last Name:ROWLAND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LSCSW, LCAC
Mailing Address - Street 1:1701 W 4TH ST APT A5
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:KS
Mailing Address - Zip Code:66044-4622
Mailing Address - Country:US
Mailing Address - Phone:816-213-7162
Mailing Address - Fax:816-213-7162
Practice Address - Street 1:200 MAINE ST STE A
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:KS
Practice Address - Zip Code:66044-1396
Practice Address - Country:US
Practice Address - Phone:785-843-9192
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-17
Last Update Date:2023-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS668101YA0400X
KS48701041C0700X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)