KELLY LONG (NPI# 1457564726) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457564726 |
| Entity Type | Individual |
| Full Name | KELLY LONG |
| Credential | MSW |
| Practice Address |
15303 St. Rt 170 East Liverpool OH 43920-9216 |
| Mailing Address |
44360 Hammond School Rd Wellsville OH 43968-9776 |
| Practice Telephone | 3303851000 |
| Practice Fax Number | 3303853588 |
| Mailing Telephone | 3305184556 |
| Mailing Fax Number | 3303853588 |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2008-10-30 |
| Gender Code | F |
| 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 |
|---|---|---|---|---|
| 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 |
| 1013189703 | Kelly Elizabeth Long | Counselor | 115 W 5th, Emporia, KS 66801 | 2008-04-02 |
| 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 |
| 1457438905 | Kelly Ann Long | Audiologist | 15 Exchange Dr, Lugoff, SC 29078-9198 | 2006-11-01 |
| Street Address |
15303 ST. RT 170 |
| City | EAST LIVERPOOL |
| State | OH |
| Zip Code | 43920-9216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225162951 | Teri Mccomas | Registered Nurse | 15303 St. Rt 170, East Liverpool, OH 43920-9216 | 2007-03-15 |
| 1104052943 | Jessica L Smith | Student in an Organized Health Care Education/Training Program | 15303 St. Rt 170, East Liverpool, OH 43920 | 2009-06-08 |
| 1679771257 | Trudy A Wallace | Counselor | 15303 St. Rt 170, East Liverpool, OH 43920-9216 | 2007-07-05 |
| 1932312543 | Psycare Inc | Registered Nurse | 15303 St. Rt 170, East Liverpool, OH 43920-9216 | 2007-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992321228 | Mary Matta | Podiatrist | 425 West Fith Street, East Liverpool, OH 43920 | 2020-06-23 |
| 1538795893 | Kaley M Davis | Occupational Therapist | 15655 Oh-170, East Liverpool, OH 43920 | 2020-03-19 |
| 1851890842 | Psycare Inc | Community/Behavioral Health | 15303 State Rout 170, East Liverpool, OH 43920 | 2018-02-06 |
| 1447760004 | Sarah Eileen Malcomson | Nurse Practitioner | 304 W 5th St, East Liverpool, OH 43920 | 2017-10-09 |
| 1427411438 | Help Hotline Crisis Center, Inc. | Community/Behavioral Health | 509 Market Street, East Liverpool, OH 43920 | 2016-03-29 |
| 1467848960 | Lorraine Barnard | Physical Therapy Assistant | 500 Self Ridge Street, Nentwick Convalescent Home, East Liverpool, OH 43920 | 2015-04-10 |
| 1891129441 | Jamie Jo Boyle | Nurse Practitioner | 425 West 5th Street, East Liverpool, OH 43920 | 2013-08-29 |
| 1275872038 | Tri-state Pediatric Associates, Inc | Pediatrics | 15700 State Street, Route 170, Calcutta, OH 43920 | 2013-02-13 |
| 1083953798 | Jill C Hendrickson | Psychologist | 416 Jackson Street, East Liverpool, OH 43920 | 2013-02-01 |
| 1104163468 | Laura Jane Plum | Occupational Therapy Assistant | 15675 Maple Drive, East Liverpool, OH 43920 | 2013-01-07 |
| Find all providers in zip 43920 | ||||
| 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 |
|---|---|---|---|---|
| 1679771257 | Trudy A Wallace | Counselor | 15303 St. Rt 170, East Liverpool, OH 43920-9216 | 2007-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548868698 | Jana Elaine Kizito | Counselor | 202 Gladys Ave, Mingo Jct, OH 43938-1028 | 2020-10-12 |
| 1669079596 | Jonathan David Kopech | Counselor | 2635 Jessup Rd, Cincinnati, OH 45239-6276 | 2020-10-05 |
| 1427665900 | Center for Emotional Health, LLC. | Counselor | 330 Portland St, Celina, OH 45822-2038 | 2020-09-28 |
| 1932715471 | Raquel Powell-lewis | Counselor | 1435 Vine St Apt 2, Cincinnati, OH 45202-7094 | 2020-09-21 |
| 1043826027 | Center of Healing, LLC | Counselor | 292 Greensfield Ln, Copley, OH 44321-3098 | 2020-09-16 |
| 1043825573 | David Fluellen | Counselor | 1743 E Main St, Columbus, OH 43205-2265 | 2020-09-11 |
| 1972117299 | Ann Marie Louise Melinz | Counselor | 2525 West 22nd Street, Cleveland, OH 44115 | 2020-09-03 |
| 1720692353 | Lindsay Nichole Hall | Counselor | 5136 Birchwood Farms Dr, Mason, OH 45040-3621 | 2020-09-01 |
| 1053923177 | Myla Perry | Counselor | 6549 Coachlight Way, West Chester, OH 45069-2050 | 2020-08-19 |
| 1144839929 | Hollowell Counseling LLC | Counselor | 1619 Onondaga Ave, Lakewood, OH 44107-4310 | 2020-07-28 |
| Find all providers with the same taxonomy | ||||
| City | EAST LIVERPOOL |
| Zip Code | 43920 |
Please comment or provide details below to improve the information on KELLY 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.