MICHAEL DREW LONG (NPI# 1316413917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316413917 |
| Entity Type | Individual |
| Full Name | MICHAEL DREW LONG |
| Credential | CPSS |
| Practice Address |
996 W 800 S Payson UT 84651-2766 |
| Practice Telephone | 8015000594 |
| Practice Fax Number | 8014657762 |
| Mailing Telephone | 8015000594 |
| Mailing Fax Number | 8014657762 |
| Enumeration Date | 2018-10-22 |
| Last Update Date | 2018-10-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | 706 | UT | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912416561 | Michael Paul Long | Social Worker | 14523 Westlake Drive, Lake Oswego, Or 97035, Lake Oswego, OR 97035 | 2017-09-27 |
| 1184096182 | Michael Keith Long | Registered Nurse | 606 N Kanawha St, Beckley, WV 25801-3819 | 2015-10-29 |
| 1679982110 | Michael Long | Pharmacist | 687 150th Ave, Monmouth, IL 61462-8719 | 2014-08-08 |
| 1457545097 | Michael Brandon Long | Counselor | 541 Veloce Trl, Fort Mill, SC 29715-7826 | 2007-08-28 |
| 1700905445 | Michael Ray Long | Acupuncturist | 1879 Portola Rd Ste L, Ventura, CA 93003-8095 | 2007-03-27 |
| 1538234745 | Michael Walter Long | Dentist | 78461 Highway 111, Plaza Dental Group, La Quinta, CA 92253-2076 | 2006-11-22 |
| 1205858578 | Michael Golden Long | Dentist | 7730 N Fresno St, Ste. 102, Fresno, CA 93720-2408 | 2006-07-24 |
| 1043239775 | Michael Arlin Long | Physician Assistant | 450 4th St., Dassel, MN 55325 | 2006-07-19 |
| 1053394700 | Michael Harrison Long | Physician Assistant | 870 Summit Crossing Pl, Gastonia, NC 28054 | 2005-11-28 |
| 1790336998 | Michael Thomas Long | Psychologist | 921 Chester Pike, Sharon Hill, PA 19079-1411 | 2019-09-27 |
| Street Address |
996 W 800 S |
| City | PAYSON |
| State | UT |
| Zip Code | 84651-2766 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245682780 | Steps Recovery Center Daytreatment | Substance Abuse Rehabilitation Facility | 996 W 800 S, Payson, UT 84651-2766 | 2016-07-08 |
| 1043838659 | Christopher Bowman | Social Worker | 996 W 800 S, Payson, UT 84651-2766 | 2020-07-09 |
| 1811532187 | Chase Richards | Peer Specialist | 996 W 800 S, Payson, UT 84651-2766 | 2019-11-11 |
| 1649829466 | Lisa Van De Water | Social Worker | 996 W 800 S, Payson, UT 84651-2766 | 2019-09-04 |
| 1033765938 | Samantha Perdue | Social Worker | 996 W 800 S, Payson, UT 84651-2766 | 2019-08-15 |
| 1356993158 | Larry David Campbell | Counselor | 996 W 800 S, Payson, UT 84651-2766 | 2019-07-11 |
| 1043787369 | Ashley Brandt | Registered Nurse | 996 W 800 S, Payson, UT 84651 | 2018-10-24 |
| 1497221980 | Tyler Scott Hansen | Counselor | 996 W 800 S, Payson, UT 84651-2766 | 2018-10-23 |
| 1619443405 | Kami Poll Houck | Recreation Therapist | 996 W 800 S, Payson, UT 84651-2766 | 2018-10-18 |
| 1376093765 | Steps Recovery Center St. George | Substance Abuse Rehabilitation Facility | 996 W 800 S, Payson, UT 84651-2766 | 2016-10-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467996116 | At Peace Peace Hospice Care LLC. | Hospice Care, Community Based | 863 S 500 W, Payson, UT 84651 | 2016-12-15 |
| 1750732723 | Country Lane Payson Operating LLC | Assisted Living Facility | 153 S. 900 E, Payson, UT 84651 | 2016-06-30 |
| 1811390768 | Payson Rx Express LLC | Pharmacy | 869 S Turf Farm Rd, Payson, UT 84651 | 2014-10-07 |
| 1205261807 | Payson Sports & Spine LLC | Chiropractor | 871 South 500 West, Payson, UT 84651 | 2013-09-13 |
| 1205177722 | Avalon Care Center - Va Payson, LLC | Skilled Nursing Facility | 1551 North Main Street, Payson, UT 84651 | 2013-03-07 |
| 1609015353 | Donald Rex Lankford | Social Worker | 806 South 1040 West, Payson, UT 84651 | 2009-02-19 |
| 1477709772 | Canyon View Medical Group LLC | Obstetrics & Gynecology | 15 S 1000 E Ste 125, Payson, UT 84651 | 2008-08-18 |
| 1386836112 | Canyon View Medical Group LLC | Pediatrics | 15 South 1000 East, Suite 100, Payson, UT 84651 | 2007-08-15 |
| 1518187350 | Richard Barton | Pharmacist | 69 East Hudson Ln, Elk Ridge, UT 84651 | 2007-04-26 |
| 1356400337 | Apple Valley Vision LLC | Optometrist | 539 South 100 West, Payson, UT 84651 | 2006-12-06 |
| Find all providers in zip 84651 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396346698 | Andee Cook | Peer Specialist | 984 S 930 W, Payson, UT 84651-3126 | 2020-11-03 |
| 1740816024 | Alice Ferwerda | Peer Specialist | 984 S 930 W, Payson, UT 84651-3126 | 2020-03-18 |
| 1669006862 | Lindsay Riggs | Peer Specialist | 984 S 930 W, Payson, UT 84651-3126 | 2020-02-26 |
| 1790318442 | Jake Knighton | Peer Specialist | 984 S 930 W, Payson, UT 84651-3126 | 2020-02-20 |
| 1811532187 | Chase Richards | Peer Specialist | 996 W 800 S, Payson, UT 84651-2766 | 2019-11-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043819600 | Devin J Morrison | Peer Specialist | 230 W 200 S Unit 142, Salt Lake City, UT 84110-6006 | 2020-10-23 |
| 1104423532 | Chante Colvin | Peer Specialist | 3638 Sugar Leo Rd, St George, UT 84790-7452 | 2020-10-08 |
| 1518579077 | Henry Matthews | Peer Specialist | 474 N Grant St, Salt Lake City, UT 84116-2726 | 2020-08-17 |
| 1508497892 | Jamie Len Griffin | Peer Specialist | 256 W 100 S, Logan, UT 84321-5231 | 2020-01-27 |
| 1295370013 | Amber Chandler | Peer Specialist | 15257 S Scenic Crest Cir, Bluffdale, UT 84065-5076 | 2019-11-15 |
| 1780232272 | Billie Jo Burnett | Peer Specialist | 1429 N 1200 W, Orem, UT 84057-2449 | 2019-08-28 |
| 1669025227 | Ryan Ballard | Peer Specialist | 589 E 8680 S, Sandy, UT 84070-1779 | 2019-07-22 |
| 1134780042 | Michael James Olsen | Peer Specialist | 344 E 100 S Ste 301300, Salt Lake City, UT 84111-1700 | 2019-06-23 |
| 1659836393 | Brittney Emi Vaovasa | Peer Specialist | 252 W Brooklyn Ave, Salt Lake City, UT 84101-3024 | 2019-02-06 |
| 1699278366 | John Carlos Gonzales | Peer Specialist | 7873 S Chadbourne Dr, Cottonwood Heights, UT 84121-5806 | 2018-03-08 |
| Find all providers with the same taxonomy | ||||
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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.