KENNETH LONG (NPI# 1255715660) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255715660 |
| Entity Type | Individual |
| Full Name | KENNETH LONG |
| Credential | BMS |
| Practice Address |
1273 S 2nd St Raton NM 87740-2234 |
| Mailing Address |
2551 Coors Blvd Nw Albuquerque NM 87120-1213 |
| Practice Telephone | 5754453557 |
| Mailing Telephone | 5053383320 |
| Enumeration Date | 2015-07-15 |
| Last Update Date | 2015-07-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598997207 | Kenneth Alan Long | Interpreter | 16817 223rd Ave E, Orting, WA 98360-9120 | 2009-08-13 |
| 1982605911 | Kenneth D Long | Physician Assistant | 1251 Ne Elm St, Prineville, OR 97754 | 2005-08-01 |
| 1952936163 | Kenneth Long | Student in an Organized Health Care Education/Training Program | 611 W Park St, Urbana, IL 61801-2529 | 2020-03-08 |
| 1467949974 | Kenneth Long | Behavior Technician | 630 Southpointe Ct Ste 105, Colorado Springs, CO 80906-3800 | 2018-04-19 |
| 1730462219 | Kenneth G Long | Pharmacist | 1050 N Kennedy Dr, Kankakee, IL 60901-2033 | 2011-09-21 |
| 1346535390 | Kenneth Michael Long | Family Medicine | 2750 Gause Blvd E, Slidell, LA 70461 | 2011-06-17 |
| 1720287253 | Kenneth Lamar Long | Psychologist | 1254 Ocala Rd, Tallahassee, FL 32304-1548 | 2007-07-14 |
| 1831215656 | Kenneth Long | Case Manager/Care Coordinator | 2707 Browns Ln, Jonesboro, AR 72401-7213 | 2007-03-22 |
| 1932125846 | Kenneth Lee Long | Internal Medicine | 1305 Wonder World Drive, Ste 301, San Marcos, TX 78666 | 2006-07-14 |
| 1114971991 | Kenneth W Long | Family Medicine | 1395 El Rito Dr, Gulf Breeze, FL 32563-6707 | 2006-05-19 |
| Street Address |
1273 S 2ND ST |
| City | RATON |
| State | NM |
| Zip Code | 87740-2234 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275765356 | Evelyn Marie Salazar | Counselor | 1273 S 2nd St, Raton, NM 87740-2234 | 2009-08-21 |
| 1144848417 | Francisco Olguin | Community Health Worker | 1273 S 2nd St, Raton, NM 87740-2234 | 2020-07-13 |
| 1861010373 | Carla Linn Segotta | Community Health Worker | 1273 S 2nd St, Raton, NM 87740-2234 | 2020-07-10 |
| 1346868130 | Deyton Guara | Community Health Worker | 1273 S 2nd St, Raton, NM 87740-2234 | 2020-07-08 |
| 1295352151 | Robert Romero | Community Health Worker | 1273 S 2nd St, Raton, NM 87740-2234 | 2020-06-26 |
| 1750903829 | Scott Heck | Community Health Worker | 1273 S 2nd St, Raton, NM 87740-2234 | 2020-05-12 |
| 1417444258 | Jeffrey Allen Hunt | Community Health Worker | 1273 S 2nd St, Raton, NM 87740-2234 | 2018-04-17 |
| 1457727331 | James Apodaca | Counselor | 1273 S 2nd St, Raton, NM 87740-2234 | 2015-08-14 |
| 1588048060 | Jessie Gomez | Counselor | 1273 S 2nd St, Raton, NM 87740-2234 | 2015-07-15 |
| 1427444504 | Cassandra Sanchez | Counselor | 1273 S 2nd St, Raton, NM 87740-2234 | 2015-04-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235634346 | Zia Healthcare Services LLC | Pathology | 168 Hospital Dr, Raton, NM 87740 | 2018-03-29 |
| 1538660428 | Sarah Rebecca Bales | Social Worker | 106 Cook Ave Apt 2-b, Raton, NM 87740 | 2018-02-26 |
| 1144695966 | Susanne Tripodi | Acupuncturist | 201 Cook Ave, Raton, NM 87740 | 2015-12-04 |
| 1942559588 | Candice Brook Adams | Psychologist | 101 North Second Street, Raton, NM 87740 | 2012-08-29 |
| 1184981227 | Jewel Berry | Counselor | 501 South Fourth Street, Raton, NM 87740 | 2012-04-13 |
| 1053696518 | William Stephen Stanley | Pharmacist | 955 South Second Street, Del Norte Pharmacy, Raton, NM 87740 | 2011-10-17 |
| 1144536459 | Karin M Murray | Pharmacist | 1275-a South 2nd St, Raton, NM 87740 | 2010-08-24 |
| 1043526361 | Troy N. Murray | Pharmacist | 1275-a South 2nd St., Raton, NM 87740 | 2010-08-24 |
| 1962730010 | Tiger Den Wellness Center | Local Education Agency (LEA) | 1535 Tiger Circle, Raton, NM 87740 | 2009-12-01 |
| 1407182678 | Billy Mastrantoni | Counselor | 130 N Second St, Raton, NM 87740 | 2009-10-23 |
| Find all providers in zip 87740 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184981227 | Jewel Berry | Counselor | 501 South Fourth Street, Raton, NM 87740 | 2012-04-13 |
| 1407182678 | Billy Mastrantoni | Counselor | 130 N Second St, Raton, NM 87740 | 2009-10-23 |
| 1275765356 | Evelyn Marie Salazar | Counselor | 1273 S 2nd St, Raton, NM 87740-2234 | 2009-08-21 |
| 1457727331 | James Apodaca | Counselor | 1273 S 2nd St, Raton, NM 87740-2234 | 2015-08-14 |
| 1588048060 | Jessie Gomez | Counselor | 1273 S 2nd St, Raton, NM 87740-2234 | 2015-07-15 |
| 1427444504 | Cassandra Sanchez | Counselor | 1273 S 2nd St, Raton, NM 87740-2234 | 2015-04-15 |
| 1215320387 | Casey Grubelnik | Counselor | 1273 S 2nd St, Raton, NM 87740-2234 | 2015-03-12 |
| 1962804153 | Chicky Gomez | Counselor | 1273 S 2nd St, Raton, NM 87740 | 2014-09-19 |
| 1245632330 | Jeramy Armijo | Counselor | 1273 S 2nd St, Raton, NM 87740 | 2014-09-19 |
| 1861802480 | Isaac Ortiz | Counselor | 1273 S 2nd St, Raton, NM 87740-2234 | 2014-05-05 |
| Find all providers in RATON | ||||
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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.