MISTY AJA LONG (NPI# 1144493917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144493917 |
| Entity Type | Individual |
| Full Name | MISTY AJA LONG |
| Credential | LADAC, LMHC |
| Practice Address |
726 Wick Ave Youngstown OH 44505-2827 |
| Mailing Address |
4285 Edinburg Rd New Castle PA 16102-3157 |
| Practice Telephone | 3307479551 |
| Practice Fax Number | 3308846120 |
| Mailing Telephone | 5059184030 |
| Enumeration Date | 2008-04-11 |
| Last Update Date | 2016-06-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
0148301 | NM | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 000M1099 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144374638 | Misty Perry Long | Nurse Practitioner | 3720 Davinci Ct, Suite 400, Norcross, GA 30092-7627 | 2007-01-22 |
| Street Address |
726 WICK AVE |
| City | YOUNGSTOWN |
| State | OH |
| Zip Code | 44505-2827 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871595603 | Theodore R Cubbison | Neuromusculoskeletal Medicine & OMM | 726 Wick Ave, Youngstown, OH 44505-2827 | 2005-08-11 |
| 1538721816 | John Michael Jerome | Nurse Practitioner | 726 Wick Ave, Youngstown, OH 44505-2827 | 2019-07-08 |
| 1194384552 | Gabrielle M Monk | Dietitian, Registered | 726 Wick Ave, Youngstown, OH 44505-2827 | 2019-06-10 |
| 1245797737 | Jacquelyn K Oddo | Dietitian, Registered | 726 Wick Ave, Youngstown, OH 44505-2827 | 2019-02-21 |
| 1992284731 | Somer Wallace | Nurse Practitioner | 726 Wick Ave, Youngstown, OH 44505-2827 | 2018-08-13 |
| 1447705058 | Amber Walden | Nurse Practitioner | 726 Wick Ave, Youngstown, OH 44505-2827 | 2016-08-24 |
| 1659741577 | Patrick M. Frost | Nurse Practitioner | 726 Wick Ave, Youngstown, OH 44505-2827 | 2015-10-05 |
| 1801272265 | Justin Daniel Pykare | Nurse Practitioner | 726 Wick Ave, Youngstown, OH 44505-2827 | 2015-08-07 |
| 1063801249 | Andrea Longo | Counselor | 726 Wick Ave, Youngstown, OH 44505-2827 | 2015-01-12 |
| 1215379896 | Stephanie Lynn Huston | Registered Nurse | 726 Wick Ave, Youngstown, OH 44505-2827 | 2013-07-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558924365 | Kristina Terlecki | Massage Therapist | 32 Goldie Rd., Youngstown, OH 44505 | 2019-04-17 |
| 1669937108 | Melissa Ann Brian | Registered Nurse | 615 Churchill - Hubbard Rd., Youngstown, OH 44505 | 2019-02-08 |
| 1902376742 | Shamara Golden | Specialist/Technologist | 3415 5th Ave, Youngstown, OH 44505 | 2018-12-04 |
| 1366912933 | Valor Recovery Center | Substance Abuse Rehabilitation Facility | 45 North Canfield Niles Road, Youngstown, OH 44505 | 2018-11-27 |
| 1104333798 | Sherrell Lynn Moorer | Case Manager/Care Coordinator | 3164 Eastview Drive, Youngstown, OH 44505 | 2018-01-04 |
| 1154875888 | Aba Therapy Solutions | Community/Behavioral Health | 125 Churchill-hubbard Rd, Youngstown, OH 44505 | 2016-08-10 |
| 1871721530 | Wal-mart Stores, Inc. | Eyewear Supplier (Equipment, not the service) | 200 Goldie Road, Youngstown, OH 44505 | 2009-07-01 |
| 1538254149 | Robert F. Accordino | Physical Therapist | 4531 Belmont Ave., Suite 5, Youngstown, OH 44505 | 2006-10-03 |
| 1659465862 | Union Eyes Optical, Inc | Technician/Technologist | 229 Churchill-hubbard Rd, Youngstown, OH 44505 | 2006-10-03 |
| 1124080239 | Giovanna Vinci-khoury | Specialist | 4970 Belmont Ave, Youngstown, OH 44505 | 2006-04-04 |
| Find all providers in zip 44505 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255959813 | Katherine Ann Shaw | Counselor | 5385 Market St, Youngstown, OH 44512-2246 | 2020-07-10 |
| 1134632854 | Kevin Betts | Counselor | 1697 N Hartford Ave, Youngstown, OH 44509-1350 | 2017-11-16 |
| 1134667728 | Shawn L Hunter-little | Counselor | 35 W Heights Ave, Youngstown, OH 44509-2312 | 2017-02-03 |
| 1245630771 | Sarah M Lenhart | Counselor | 136 Westchester Dr Ste 5, Youngstown, OH 44515-3965 | 2014-09-03 |
| 1205235058 | Psycare, Inc. | Counselor | 2960 Belmont Ave, Youngstown, OH 44505-1834 | 2014-08-18 |
| 1992124630 | Brandalyn Kemp | Counselor | 4136 New Rd, Youngstown, OH 44515-4631 | 2014-04-09 |
| 1669791315 | Sarah E.b. Cercone | Counselor | 711 Belmont Ave, Youngstown, OH 44502-1039 | 2010-05-20 |
| 1265620702 | Vanessa Marie Jones | Counselor | 100 Broadway Ave, Youngstown, OH 44505-2789 | 2007-10-10 |
| 1578763439 | Elaine W Lewis | Counselor | 5248 Southern Blvd, Youngstown, OH 44512-2242 | 2007-07-19 |
| 1699826909 | Michael Mckeehan | Counselor | 8440 Market St, Youngstown, OH 44512-6703 | 2007-01-15 |
| Find all providers in YOUNGSTOWN | ||||
| City | YOUNGSTOWN |
| Zip Code | 44505 |
Please comment or provide details below to improve the information on MISTY AJA LONG.
| 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.