JEANINE LONG (NPI# 1013138957) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013138957 |
| Entity Type | Individual |
| Full Name | JEANINE LONG |
| Credential | LPC |
| Practice Address |
4425 W Zoo Blvd Suite 3 Wichita KS 67212-1620 |
| Mailing Address |
701 E 1st St N Apt 206 Suite A Wichita KS 67202-4905 |
| Practice Telephone | 3167492007 |
| Practice Fax Number | 3169435554 |
| Mailing Telephone | 3162597018 |
| Mailing Fax Number | 3166860036 |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2016-03-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
2237 | KS | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275811408 | Jeanine Michelle Long | Counselor | 1450 Chapin Ave, Burlingame, CA 94010-4062 | 2011-07-21 |
| Street Address |
4425 W ZOO BLVD SUITE 3 |
| City | WICHITA |
| State | KS |
| Zip Code | 67212-1620 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295826931 | Seth Raymond Osborn | Social Worker | 4425 W Zoo Blvd, Suite 3, Wichita, KS 67212-1620 | 2006-09-27 |
| 1366898470 | Jennifer Brown | Marriage & Family Therapist | 4425 W Zoo Blvd, Ste 3, Wichita, KS 67212-1620 | 2016-05-06 |
| 1881092195 | Julie Miller Corp | Community/Behavioral Health | 4425 W Zoo Blvd, Ste 3, Wichita, KS 67212-1620 | 2014-12-18 |
| 1952730137 | Integrative Counseling Center LLC | Community/Behavioral Health | 4425 W Zoo Blvd, Suite 3, Wichita, KS 67212-1620 | 2013-11-07 |
| 1235433004 | Cates Chiropractic Clinic LLC | Chiropractor | 4425 W Zoo Blvd, Ste. 4, Wichita, KS 67212-1620 | 2011-01-07 |
| 1487846564 | Amy Jo Driskill | Marriage & Family Therapist | 4425 W Zoo Blvd, Suite 3, Wichita, KS 67212-1620 | 2007-08-13 |
| 1093807380 | Rebekah Lynn Cates | Chiropractor | 4425 W Zoo Blvd, Ste 4, Wichita, KS 67212-1620 | 2006-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891396974 | Kim Deann Kercher | Physical Therapist | Legacy At Grassland Estates, 10665 W 13th St N Apt 329, Wichita, KS 67212 | 2020-11-04 |
| 1700370954 | Andrea Lou Wheeler | Registered Nurse | 658 N Fairway Ave, Wichita, KS 67212 | 2018-06-20 |
| 1568981231 | Wichita Family Dental LLC | Dentist | 1445 N. Ridge Rd, Wichtia, KS 67212 | 2017-09-14 |
| 1396260121 | Keegan Hemberger | Pharmacist | 555 N. Maize Road, Wichita, KS 67212 | 2017-08-14 |
| 1154877603 | Alicia Rose Landrum | Counselor | 515 N Ridge Rd Ste 105, Wichita, KS 67212 | 2016-08-25 |
| 1306218920 | Brandee Young | Occupational Therapist | 9710 W. Jamesburg, Wichita, KS 67212 | 2015-10-22 |
| 1588072201 | Michelle Kuhn | Pharmacist | 10515 W Central, Wichita, KS 67212 | 2014-07-25 |
| 1972914083 | Linda Mueller Mueller | Marriage & Family Therapist | 4425 West Zoo Blvd, Wichita, KS 67212 | 2014-05-12 |
| 1619392305 | Jessica Smith | Counselor | 1319 W May, Wichita, KS 67212 | 2014-03-04 |
| 1245652064 | Keepsake Kottage, LLC | Custodial Care Facility | 8801 W Bekemeyer, Wichita, KS 67212 | 2014-01-14 |
| Find all providers in zip 67212 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730710625 | Andria Brockwell | Counselor | 3450 N Rock Rd Ste 405, Wichita, KS 67226-1354 | 2020-01-29 |
| 1013560861 | Lauren Ashley Dutcher | Counselor | 654 N Woodchuck St Ste E, Wichita, KS 67212-3571 | 2019-07-22 |
| 1275093205 | Kimberly Mcminn-rogers | Counselor | 1403 N Blackstone Ct, Wichita, KS 67235 | 2019-03-25 |
| 1831655265 | Arrow Therapy Group, LLC | Counselor | 111 S Whittier Rd Ste 4000c, Wichita, KS 67207-1045 | 2019-02-11 |
| 1609304922 | Michelle Oliphant | Counselor | 4601 E Douglas Ave Ste 121, Wichita, KS 67218-1032 | 2017-05-31 |
| 1205375508 | Dianne Marie Held | Counselor | 2121 N Rutgers St, Wichita, KS 67212-6409 | 2017-02-20 |
| 1467809111 | Robert James | Counselor | 1820 1/2 W Macarthur Rd, Wichita, KS 67217-2752 | 2016-05-23 |
| 1174872121 | Ieshia A Peters | Counselor | 8722 E Lakeland Cir, Wichita, KS 67207-5122 | 2012-09-06 |
| 1356648273 | The Center for Social Work Innovation, LLC | Counselor | 3425 W Central Ave Ste 100-102, Wichita, KS 67203-4919 | 2011-02-14 |
| 1467756957 | Ashley Glee Moore | Counselor | 505 N Tyler Rd, Apt 1314, Wichita, KS 67212-3676 | 2010-12-27 |
| Find all providers in WICHITA | ||||
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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.