MICHAELA SOFIA HIGASHIYAMA LCSW - NPI 1629806955 - Social Worker in Farr West, UT

Q: What is Michaela Higashiyama's NPI number?

The NPI number for Michaela Higashiyama is 1629806955. It was assigned to this individual provider in the NPPES registry on July 26, 2024. The provider is also known as Michaela Sofia Jendrysik.

Q: What is Michaela Higashiyama's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

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About Michaela Sofia Higashiyama Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAELA SOFIA HIGASHIYAMA LCSW (NPI 1629806955) is an individual clinical provider in Farr West, Utah, licensed in Utah (14235706-3501) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1629806955

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMICHAELA SOFIA HIGASHIYAMACredential: LCSW

Location Address2850 N 2000 W STE 101Farr West, UT 84404-9230

Mailing Address1055 N 500 W, Attn CredentialingProvo, UT 84604 · (801) 354-8225 · Fax (801) 418-0941

Phone(801) 528-5095

Fax(801) 528-5094

Sole ProprietorYes

Medical School CMSOtherGraduated 2022

Enumeration DateJuly 26, 2024

Last NPPES UpdateJuly 29, 20252 updates tracked since enumeration

NPPES CertifiedJuly 29, 2025

✔ NPI 1629806955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

Licenses✔ Licensed in UT · 14235706-3501✔ Licensed in MT · BBH-LCSW-LIC-72295

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

2850 N 2000 W STE 101, Farr West, UT 84404

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Other Names 1

Former Name (1)Michaela Sofia Jendrysik

Secondary Practice Locations 2

Location 11205 1st Ave NWGreat Falls, MT 59404-2202 · Phone (801) 600-5774

Location 22850 N 2000 W Ste 201Farr West, UT 84404-9230 · Phone (801) 866-0170 · Fax (801) 866-0169

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michaela Sofia Higashiyama Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4981102464

PECOS Enrollment IDI20250813002108

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84404 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $54.34 – $166.03

Typical copayment $0.00 (range $13.58 – $41.50)

Most-billed visit code NA

Established Patient

$68.01 typical visit price

range $17.23 – $135.20

Typical copayment $17.00 (range $4.30 – $33.80)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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