MS. KELLY ELIZABETH LONG (NPI# 1013189703) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013189703 |
| Entity Type | Individual |
| Full Name | MS. KELLY ELIZABETH LONG |
| Credential | LPC NCC |
| Practice Address |
115 W 5th Emporia KS 66801 |
| Mailing Address |
119 Jones El Dorado KS 67042 |
| Practice Telephone | 6203432109 |
| Practice Fax Number | 6203437901 |
| Mailing Telephone | 3163229600 |
| Mailing Fax Number | 3163229602 |
| Enumeration Date | 2008-04-02 |
| Last Update Date | 2008-04-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
1966 | KS | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013551894 | Kelly Denise Long | Physical Therapist | 6410 Diamond Rock Dr, Katy, TX 77449-4241 | 2019-11-04 |
| 1316319148 | Kelly Long | Occupational Therapist | 1906 Kenwood Ave, Charlotte, NC 28205-3646 | 2015-10-20 |
| 1720649676 | Kelly Long | Licensed Vocational Nurse | 2180 Valley Blvd, Pomona, CA 91768-3325 | 2019-06-21 |
| 1366949539 | Kelly Mckinley Long | Student in an Organized Health Care Education/Training Program | 477 Cooper Rd Ste 300, Westerville, OH 43081-8057 | 2018-04-12 |
| 1447551817 | Kelly Patricia Long | Nurse Practitioner | 900 E 13th St, Suite 101, Grove, OK 74344-2975 | 2010-11-16 |
| 1871808303 | Kelly A Long | Nurse Practitioner | 1025 Straka Ter, Oklahoma City, OK 73139-2544 | 2010-08-09 |
| 1447408133 | Kelly Long | Counselor | 615 Shipyard Blvd, Wilmington, NC 28412 | 2008-09-05 |
| 1568623338 | Kelly Lynn Long | Physician Assistant | 10909 Hannan Rd, Romulus, MI 48174-1383 | 2008-06-24 |
| 1457564726 | Kelly Long | Counselor | 15303 St. Rt 170, East Liverpool, OH 43920-9216 | 2007-05-07 |
| 1457438905 | Kelly Ann Long | Audiologist | 15 Exchange Dr, Lugoff, SC 29078-9198 | 2006-11-01 |
| Street Address |
115 W 5TH |
| City | EMPORIA |
| State | KS |
| Zip Code | 66801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225539141 | Tina Marie Andrade | Counselor | 1500 Graphic Arts Road, Emporia, KS 66801 | 2018-02-26 |
| 1669918637 | Paden Bradley Eveland | Physical Medicine & Rehabilitation | 1 Kellogg Circle Emporia State University, Emporia, KS 66801 | 2017-01-13 |
| 1932501467 | Emily Prouse | Dietitian, Registered | 1 Kellogg Circle 250 Se Morse Hall, Emporia, KS 66801 | 2014-09-16 |
| 1407278112 | Kansas Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1215 Merchant St, Emporia, KS 66801 | 2014-01-15 |
| 1508105800 | Smith Agency LLC | In Home Supportive Care | 4245 W. Hwy 50, Emporia, KS 66801 | 2013-02-06 |
| 1891060919 | Gould Coates Garcia | Internal Medicine | 2014 Canterbury Rd, Emporia, KS 66801 | 2012-03-22 |
| 1457511321 | Amanda Lee Ruxton | Family Medicine | 1301 W 12th Ave Ste 101, Emporia, KS 66801 | 2008-06-13 |
| 1821262049 | Qi Qiao Joina Wu | Counselor | 115 West 5th Street, Emporia, KS 66801 | 2008-04-18 |
| 1851586275 | Hyun Chan Shin | Counselor | 115 5th Ave, Emporia, KS 66801 | 2007-09-10 |
| 1225249642 | Mark Dejesus | Occupational Therapist | 2700 West 30th Avenue, Emporia, KS 66801 | 2007-05-25 |
| Find all providers in zip 66801 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740745579 | Danielle Richmond | Counselor | 401 Halifax St # 2a, Emporia, VA 23847-1711 | 2019-02-06 |
| 1720587397 | Marisa Murray | Counselor | 1420 C of E Dr Fl 2, Emporia, KS 66801-2556 | 2018-02-08 |
| 1083159594 | Danita Turner Williams | Counselor | 407 Halifax St, Suite 3, Emporia, VA 23847-1722 | 2016-12-20 |
| 1770830119 | Benjamin Gerrard | Counselor | 1420 C of E Dr Ste 115, Emporia, KS 66801-2579 | 2012-08-03 |
| 1215296256 | Cindy Lexow | Counselor | 527 Commercial Street, Suite #416, Emporia, KS 66801-2556 | 2012-05-11 |
| 1336448919 | Margaret Gwynn | Counselor | 5106 Fiddlers Rd, Emporia, VA 23847-7214 | 2011-03-22 |
| 1215188016 | Bethany L. Cooper | Counselor | 1624 Rural St, Emporia, KS 66801-5548 | 2008-10-10 |
| 1497847628 | Edna M. Phipps | Counselor | 139 C Baker Street, Emporia, VA 23287 | 2006-09-28 |
| 1124017231 | Deborah Diane Kinder | Counselor | 8 W 8th Ave, Emporia, KS 66801-2904 | 2005-10-20 |
| 1043774276 | Unika Harmon | Counselor | 401 Halifax St Ste 2a, Emporia, VA 23847-1711 | 2019-01-22 |
| Find all providers in EMPORIA | ||||
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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.