RICHARD LONG (NPI# 1003354598) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003354598 |
Entity Type | Individual |
Full Name | RICHARD LONG |
Credential | MSW, LCSW, M.DIV. |
Practice Address |
6745 Spring St Pendleton IN 46064-9026 |
Mailing Address |
6745 Spring St. Pendleton IN 46064 |
Practice Telephone | 7657780881 |
Mailing Telephone | 7657780881 |
Enumeration Date | 2017-02-06 |
Last Update Date | 2017-02-06 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
34000540A | IN | Behavioral Health & Social Service Providers |
N | 101YP2500X |
Counselor Specialization: Professional |
34000540A | IN | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235349986 | Richard P Long | Marriage & Family Therapist | 1350 15th Ave, Columbus, GA 31901-2308 | 2007-05-23 |
1124240304 | Richard Long | Counselor | First Street Old Clinic Building, Kwethluk, AK 99559 | 2007-05-03 |
1750392767 | Richard Earl Long | Pharmacist | 328 St John St, Havre De Grace, MD 21078 | 2006-08-11 |
1760452551 | Richard G Long | Dentist | 46 Office Park Dr, Jacksonville, NC 28546-3217 | 2006-01-24 |
1821099094 | Richard D Long | Orthopaedic Surgery | 1000 N Division St, Ste 100, Carson City, NV 89703-3929 | 2005-08-09 |
1912903071 | Richard J Long | Urology | 1999 Mowry Ave #2m, Fremont, CA 94538-1706 | 2005-06-23 |
1184242331 | Richard Anthony Long Jr. | Counselor | 175 Gwinnett Dr, Lawrenceville, GA 30046-8444 | 2020-07-13 |
1003457813 | Richard Long | Physical Therapist | 960 William T Morrissey Blvd, Dorchester, MA 02122-3206 | 2019-10-02 |
1497252233 | Richard Jonathan Long | Student in an Organized Health Care Education/Training Program | 201 Lyons Ave, Newark, NJ 07112-2027 | 2018-04-09 |
1174062228 | Richard Long | Pharmacist | 10800 Magnolia Ave, Ps1 Pharmacy, Riverside, CA 92505-3043 | 2017-02-21 |
Street Address |
6745 SPRING ST |
City | PENDLETON |
State | IN |
Zip Code | 46064-9026 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548667108 | Janie Renea Hubble | Social Worker | 6745 Spring St, Pendleton, IN 46064-9026 | 2014-11-25 |
1275992026 | Misty Rees | Counselor | 6745 Spring St, Pendleton, IN 46064-9026 | 2016-02-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912214727 | Classic Sleepcare, LLC | Durable Medical Equipment & Medical Supplies | 138 West State Street, Suite #4, Pendleton, IN 46064 | 2010-09-01 |
1629239355 | Stephanie Jane Russ | Family Medicine | 1251 S Huntzinger Blvd, Suite 100, Pendleton, IN 46064 | 2008-06-25 |
1003004219 | Hamilton-madison, Inc. | Durable Medical Equipment & Medical Supplies | 105 1/2 E. State Street, Pendleton, IN 46064 | 2007-10-12 |
1518019637 | Pendleton Emergency Ambulance Inc | Ambulance | 100 S Broadway, Pendleton, IN 46064 | 2007-01-17 |
1487755716 | Anna Marie Tallant | Counselor | 131 N Pendleton Ave, Suite A, Pendleton, IN 46064 | 2006-09-26 |
1336242700 | Jennifer A Neise | Dentist | 3132 W. State Road 38, Pendleton, IN 46064 | 2006-09-07 |
1366900599 | Megan Daberko | Registered Nurse | 1251 Huntzinger Blvd Ste 100, Pendleton, IN 46064 | 2019-03-06 |
1821594672 | Jean Castro | Registered Nurse | 1251 Huntzinger Blvd Ste 100, Pendleton, IN 46064 | 2018-04-02 |
1013002310 | Kenneth U Lau | Dentist | 210 East Water Street, Pendleton, IN 46064 | 2006-10-03 |
1912955832 | Indiana Tmj Treatment Center | Dentist | 210 East Water Street, Pendleton, IN 46064-0206 | 2006-05-04 |
Find all providers in zip 46064 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740819002 | Sheffie Dan Surber Jr. | Counselor | 2575 Westgate Bldg 13, Pendleton, OR 97801-9613 | 2020-04-07 |
1043840242 | Tallant Counseling Services | Counselor | 207 W State St Apt D, Pendleton, IN 46064-1063 | 2020-01-16 |
1477192318 | Rod Paul Harwood | Counselor | 914 Nw 6th St, Pendleton, OR 97801-1324 | 2019-12-23 |
1649785395 | Jessica L Smith | Counselor | 2575 Westgate Bldg B, Pendleton, OR 97801-9613 | 2017-12-04 |
1467811935 | Armandina Beliz | Counselor | 2575 Westgate Bldg 3, Pendleton, OR 97801-9613 | 2016-02-12 |
1356691869 | Carol Louise Johnson | Counselor | 331 Southeast 2nd Street, Pendleton, OR 97838 | 2012-09-12 |
1114254208 | Cathy Lea Torres | Counselor | 331 Se 2d St, Pendleton, OR 97801 | 2009-11-10 |
1750504171 | Linda Elliott | Counselor | 1927 Deer Xing, Pendleton, IN 46064-9257 | 2007-04-11 |
1609494640 | Robert Aj Brown | Counselor | 2575 Westgate Bldg 3, Pendleton, OR 97801-9613 | 2020-07-07 |
1962039602 | Mia Phae | Counselor | 2575 Westgate Bldg 3, Pendleton, OR 97801-9613 | 2020-03-24 |
Find all providers in PENDLETON |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.