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JUSTIN HIGGINS LCSW-R
NPI 1902243637
Social Worker - Clinical in North Tonawanda, NY

Active since June 04, 2013PECOS Enrolled
525 WHEATFIELD ST STE 28, NORTH TONAWANDA, NY 14120(716) 202-2900 Get Directions Write a Review

NPPES record last updated: October 31, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Justin Higgins Lcsw-r NPPES

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

JUSTIN HIGGINS LCSW-R (NPI 1902243637) is an individual clinical provider in North Tonawanda, New York, licensed in New York (086459) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902243637
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameJUSTIN HIGGINSCredential: LCSW-R
Location Address525 WHEATFIELD ST STE 28North Tonawanda, NY 14120-7034
Mailing Address525 Wheatfield St Ste 28North Tonawanda, NY 14120-7034 · (716) 202-2900
Phone(716) 202-2900
Sole ProprietorYes
Enumeration DateJune 4, 2013
Last NPPES UpdateOctober 31, 2021
NPPES CertifiedOctober 31, 2021
✔ NPI 1902243637 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NY · 086459
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.
525 WHEATFIELD ST STE 28, North Tonawanda, NY 14120
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Justin Higgins Lcsw-r is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Justin Higgins reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

J Higgins Counseling Lcsw PC
Same address
Clinical
525 WHEATFIELD ST STE 28
North Tonawanda, NY 14120
  • Reassigned Medicare billing, New York enrollment
  • 2 clinicians in this Medicare group
NPI 1487391082 (716) 202-2900

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14120 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 $54.87 – $166.88
Typical copayment $0.00 (range $13.71 – $41.72)
Most-billed visit code NA
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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 2

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

ERIN DEWOLFE LCSW
Social Worker (Clinical)
525 WHEATFIELD ST STE 28
NORTH TONAWANDA, NY 14120
Niagara County (716) 202-2900
J HIGGINS COUNSELING LCSW PC
Social Worker (Clinical)
525 WHEATFIELD ST STE 28
NORTH TONAWANDA, NY 14120
Niagara County (716) 202-2900

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Justin Higgins's NPI number?

The NPI number for Justin Higgins is 1902243637. It was assigned to this individual provider in the NPPES registry on June 4, 2013.

Where is Justin Higgins located?

Justin Higgins practices at 525 Wheatfield St Ste 28, North Tonawanda, NY 14120. The listed phone number is (716) 202-2900.

What is Justin Higgins's specialty?

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

Is Justin Higgins enrolled in Medicare?

Yes. Justin Higgins is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Justin Higgins's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Justin Higgins reassigns Medicare benefits to J Higgins Counseling Lcsw PC (North Tonawanda, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Justin Higgins's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Justin Higgins was last updated on October 31, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.