ROGER HIGGINBOTHAM (LPCC-S) – Counselor, NPI 1083036545

ROGER HIGGINBOTHAM (LPCC-S) is a healthcare provider. based in Mansfield, Ohio. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LPCC-S. They hold a License No. E.8198 (OH). The NPI Number for ROGER HIGGINBOTHAM (LPCC-S) is 1083036545

Main info

Male
20 Years Of Experience
Accepts Medicare Assignment
Name
ROGER HIGGINBOTHAM (LPCC-S)
NPI
1083036545
Phone
(419) 774-9969
Address
151 Marion Avenue
Enumeration Date
16 January 2014
Last Update Date
9 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8552891722
Graduation Year
2006 (20 years ago)
PAC ID
6204276132
Group Practice PAC ID
1153358486
Professional Enrollment ID
I20240425002624
Address ID
OH430175320DU525XXNXXX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness85
Years active:12State licenses:3Digital endpointsOther names

2,538 MENTAL HEALTH COUNSELOR in OH

Provider Addresses for ROGER HIGGINBOTHAM (LPCC-S)

  • 151 Marion Avenue

    Mansfield, OH 449032223

    Phone: (419) 774-9969

    Fax: (419) 756-5642

    Type: Location

  • 222 Marion Ave

    Mansfield, OH 449032138

    Phone: (567) 560-3582

    Fax: (567) 560-4484

    Type: Location

  • 151 MARION AVENUE

    MANSFIELD, OH 449032223

    Phone: (419) 774-9969

    Fax: (419) 756-5642

    Type: Mailing

  • 525 METRO PL N STE 300

    DUBLIN, OH 430175320

    Phone: (855) 289-1722

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-04-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240425002624IMental Health CounselorOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 44903)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1153358486View full group profile
NameSpecialtyState
Clinical Social WorkerOH
Nurse PractitionerOH
Nurse PractitionerOH
Nurse PractitionerOH
Nurse PractitionerOH
Nurse PractitionerOH
Nurse PractitionerOH
Nurse PractitionerOH
Nurse PractitionerOH
Nurse PractitionerOH

Reviews

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Frequently asked questions

What is the standard ID for ROGER HIGGINBOTHAM (LPCC-S) in the U.S.?
In the U.S., ROGER HIGGINBOTHAM (LPCC-S) is identified by NPI 1083036545.
Is ROGER HIGGINBOTHAM (LPCC-S) currently accepting referrals based on NPI status?
Registry metadata lists ROGER HIGGINBOTHAM (LPCC-S) as active.
How should patients interpret ROGER HIGGINBOTHAM (LPCC-S)'s specialty?
The extract shows Counselor for ROGER HIGGINBOTHAM (LPCC-S). Clinical services aligned with this taxonomy classification.
What city is tied to ROGER HIGGINBOTHAM (LPCC-S)?
The directory associates ROGER HIGGINBOTHAM (LPCC-S) with Mansfield, Ohio. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.