GLENN B LONGIE (NPI# 1992912554) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992912554 |
| Entity Type | Individual |
| Full Name | GLENN B LONGIE |
| Credential | LAC |
| Practice Address |
113 Main Ave E Rolla ND 58367 |
| Mailing Address |
Po Box 650 Devils Lake ND 58301-0650 |
| Practice Telephone | 7014778272 |
| Practice Fax Number | 7014778281 |
| Mailing Telephone | 7014778272 |
| Mailing Fax Number | 7014778281 |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
1514 | ND | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 054518 | 05 |
| Street Address |
113 MAIN AVE E |
| City | ROLLA |
| State | ND |
| Zip Code | 58367 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871537357 | Cynthia Bercier | Counselor | 113 Main Ave E, Rolla, ND 58367-7104 | 2006-06-15 |
| 1366776437 | Patricia J Sitter | Counselor | 113 Main Ave E, Rolla, ND 58367-0088 | 2009-09-23 |
| 1629224829 | Susan M. Davis | Counselor | 113 Main Ave E, Rolla, ND 58367 | 2008-08-07 |
| 1083881510 | Wanda Jean Lamotte | Counselor | 113 Main Ave E, Rolla, ND 58367-2951 | 2008-05-14 |
| 1588848741 | Andrea E Laverdure | Counselor | 113 Main Ave E, Rolla, ND 58367 | 2007-12-24 |
| 1750565917 | Lisa Marie Neameyer | Social Worker | 113 Main Ave E, Rolla, ND 58367 | 2007-12-24 |
| 1679654073 | Jessica Davis | Social Worker | 113 Main Ave E, Rolla, ND 58367-7104 | 2006-10-18 |
| 1932280336 | Lisa Hoffman | Social Worker | 113 Main Ave E, Rolla, ND 58367-7104 | 2006-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053946343 | Kayla M Wallette | Technician, Other | 1102 Main Ave, Rolla, ND 58367 | 2020-03-06 |
| 1972092757 | William David Nix | Case Manager/Care Coordinator | 102 Main Ave W, Rolla, ND 58367 | 2018-05-07 |
| 1598138745 | Catherine Minick | Case Manager/Care Coordinator | 1102 Main Ave W, Rolla, ND 58367 | 2015-11-10 |
| 1881008266 | Rolette County Social Services | Case Management | 210 2nd Ave Ne, Rolla, ND 58367 | 2014-06-13 |
| 1346318268 | Commmunity Ambulance Service, Inc | Ambulance | 217 5th Ave Ne, Rolla, ND 58367 | 2006-11-30 |
| 1831735257 | Kyla Marie Larocque | Case Manager/Care Coordinator | 102 Main Ave W, Rolla, ND 58367 | 2019-11-20 |
| 1598204489 | Laura L Waagen | Social Worker | 1102 Main Ave W, Rolla, ND 58367 | 2017-02-13 |
| 1225369523 | Northland Health Partners Community Health Center | Clinic/Center | 114 3rd St Ne, Rolla, ND 58367 | 2010-01-26 |
| 1316037575 | Carolyn Marie Counts | Pharmacist | 117 E Main St, Rolla, ND 58367 | 2006-10-16 |
| 1609887397 | Tri-care Home Health Inc | Home Health | 1104 Hwy 5 W, Rolla, ND 58367-0040 | 2006-08-10 |
| Find all providers in zip 58367 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871537357 | Cynthia Bercier | Counselor | 113 Main Ave E, Rolla, ND 58367-7104 | 2006-06-15 |
| 1992045488 | Benjamin Jeffrey Menary | Counselor | 1450 E 10th St, Rolla, MO 65401-3648 | 2013-02-21 |
| 1881920213 | Ruth Evelyn Ridenhour | Counselor | 1205 Hauck Dr, Rolla, MO 65401-4900 | 2009-10-20 |
| 1629224829 | Susan M. Davis | Counselor | 113 Main Ave E, Rolla, ND 58367 | 2008-08-07 |
| 1083881510 | Wanda Jean Lamotte | Counselor | 113 Main Ave E, Rolla, ND 58367-2951 | 2008-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811500911 | Sonja Lee Bosch | Counselor | 101 E. Broadway Ave Heartview Foundation, Bismarck, ND 58501 | 2020-08-28 |
| 1184235053 | Teal Nelson | Counselor | 515 19th Ave Se, Minot, ND 58701-6634 | 2020-08-13 |
| 1235753823 | I Am Worth It, LLC | Counselor | 1079 Deer Trail Ln Ne, Thompson, ND 58278-9400 | 2020-05-30 |
| 1780207647 | Growing Together Inc | Counselor | 515 19 Ave Sw, Minot, ND 58701 | 2020-05-26 |
| 1740814045 | Lisa Marie Voeller | Counselor | 1905 2nd St Se Ste 18, Minot, ND 58701-6566 | 2020-02-25 |
| 1194358366 | Robert M Hayes | Counselor | 7 3rd St Se Ste 109, Minot, ND 58701-3916 | 2020-02-17 |
| 1558991406 | N.i.a.m Brain Injury Services, LLP | Counselor | 1206 1st Ave S, Fargo, ND 58103-1747 | 2020-01-20 |
| 1659926681 | Faa Addiction Services | Counselor | 900 N Broadway Ste 111, Minot, ND 58703-2378 | 2019-08-06 |
| 1477112399 | Rb Counseling Service LLC | Counselor | 433 E Bismarck Expy Ste 3, Bismarck, ND 58504-6500 | 2019-06-13 |
| 1952868556 | Purpose Driven Interventions | Counselor | 1502 13th Ave West, Williston, ND 58801 | 2019-03-01 |
| 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.