ERICA NICOLE LONG (NPI# 1942849385) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942849385 |
| Entity Type | Individual |
| Full Name | ERICA NICOLE LONG |
| Credential | LPC |
| Practice Address |
508 Upland St Kenai AK 99611-8026 |
| Practice Telephone | 9073357317 |
| Mailing Telephone | 9073357317 |
| Enumeration Date | 2020-01-02 |
| Last Update Date | 2020-01-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
151896 | AK | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467008128 | Erica Denise Long | Nurse Practitioner | 220 S Jackson St, Athens, TN 37303-4713 | 2019-08-16 |
| 1225058464 | Erica Long | Physician Assistant | 660 S Mount Juliet Rd Ste 210, Mt Juliet, TN 37122-3973 | 2006-07-20 |
| 1063889368 | Erica Long | Nurse's Aide | 24801 Lake Shore Blvd, Apt B620, Euclid, OH 44123-1275 | 2015-08-21 |
| 1083979348 | Erica Lynn Long | Counselor | 1515 Palm Ave, Suite A, San Diego, CA 92154-1011 | 2012-07-11 |
| Street Address |
508 UPLAND ST |
| City | KENAI |
| State | AK |
| Zip Code | 99611-8026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083606461 | Heather Leigh Callum | Pediatrics | 508 Upland St, Kenai, AK 99611-8026 | 2005-08-22 |
| 1194325043 | Darlene Charmaine Olsen-holst | Behavior Technician | 508 Upland St, Kenai, AK 99611-8026 | 2020-10-29 |
| 1356990055 | Rebecca Strong | Social Worker | 508 Upland St, Kenai, AK 99611-8026 | 2019-09-05 |
| 1407409832 | Koleen Jenness Wittmer | Counselor | 508 Upland St, Kenai, AK 99611-8026 | 2019-07-24 |
| 1760047419 | Adam Zufelt | Behavior Technician | 508 Upland St, Kenai, AK 99611-8026 | 2019-05-08 |
| 1811552573 | Annette Schultz | Case Manager/Care Coordinator | 508 Upland St, Kenai, AK 99611-8026 | 2019-05-07 |
| 1134784192 | Karina Lorenzo | Behavior Technician | 508 Upland St, Kenai, AK 99611-8026 | 2019-05-06 |
| 1699330571 | Shelley Dawne Powell- Zimmer | Behavior Technician | 508 Upland St, Kenai, AK 99611-8026 | 2019-05-06 |
| 1316502230 | Mackenzie Rae Pietz | Behavior Technician | 508 Upland St, Kenai, AK 99611-8026 | 2019-05-06 |
| 1164087219 | Dawn Marie Nusharr | Behavior Technician | 508 Upland St, Kenai, AK 99611-8026 | 2019-05-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649803099 | Guardian Flight LLC | Ambulance | 145 Granite Point Ct, Kenai, AK 99611 | 2020-02-13 |
| 1104482967 | James Daniel Hudson | Massage Therapist | 601 Frontage Rd Suite 103, Kenai, AK 99611 | 2019-05-16 |
| 1255996351 | Shelly Lynn Niblack | Counselor | 10200, Kenai Sour Hwy, Kenai, AK 99611 | 2019-05-03 |
| 1780142042 | Odyssey Family Practice LLC | Clinic/Center | 11595 Kenai Spur Highway, Kenai, AK 99611 | 2019-03-06 |
| 1043793656 | Jerri Ann Chivers | Massage Therapist | 10815 Kenai Spur Highway, Kenai, AK 99611 | 2018-09-10 |
| 1003320060 | Christine G. Morin | Massage Therapist | 1608 Tanga Circle, Kenai, AK 99611 | 2017-11-28 |
| 1013433259 | Amanda Mckinley | Registered Nurse | 630 Barnacle Way Suite A, Kenai, AK 99611 | 2017-08-18 |
| 1780132753 | Kenai Peninsula Imaging Center LLC | Clinic/Center | 100 Trading Bay Rd Ste 7, Kenai, AK 99611 | 2016-09-19 |
| 1376905000 | Savana Long | Licensed Practical Nurse | 1700 Cone Avenue, Kenai, AK 99611 | 2016-03-22 |
| 1477977684 | Jac Enterprises, Inc. | Assisted Living Facility | 701 North Forest Dr, Kenai, AK 99611 | 2014-02-07 |
| Find all providers in zip 99611 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174097422 | Julie Lynette Dravis | Counselor | 508 S Willow St Ste D, Kenai, AK 99611-6940 | 2019-01-18 |
| 1205499092 | Ronald Petterson | Counselor | 508 Upland St, Kenai, AK 99611-8026 | 2019-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306446182 | Anna Marie Luiken | Counselor | 1009 Fred Cir, Anchorage, AK 99515-2654 | 2020-10-29 |
| 1811502859 | Alaska Telemedicine Consultants Inc | Counselor | 12461 Gilead Way, Willow, AK 99699 | 2020-09-15 |
| 1417569963 | Kristina Lynn Hentges | Counselor | 5131 Manytell Ave, Anchorage, AK 99516-4271 | 2020-08-17 |
| 1073121752 | Gina Thara Wall | Counselor | 17601 James Way, Eagle River, AK 99577-9254 | 2020-07-17 |
| 1154947893 | Jo Flesner | Counselor | 17101 Snowmobile Ln Ste 109, Eagle River, AK 99577-7043 | 2020-06-18 |
| 1437778602 | Kirklin Kinney | Counselor | 5801 E Bogard Rd, Wasilla, AK 99654-4267 | 2020-04-08 |
| 1144859703 | Gena Ruth Ornquist | Counselor | 1000 Josselin Ln, Palmer, AK 99645-7110 | 2020-04-06 |
| 1316587173 | Janet Daw | Counselor | 10714 Colville St, Eagle River, AK 99577-8287 | 2020-01-09 |
| 1588209225 | Elena A Martin | Counselor | 68 Willow Cir, Ketchikan, AK 99901-9530 | 2019-11-15 |
| 1841841723 | Danielle N Gutierrez | Counselor | 1528 Richardson Hwy Apt 3, North Pole, AK 99705-5967 | 2019-09-23 |
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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.