JENNIFER ANN LONG (NPI# 1831334952) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831334952 |
| Entity Type | Individual |
| Full Name | JENNIFER ANN LONG |
| Credential | MA, LADC |
| Practice Address |
1351 Frost Avenue Senior Recovery Program St. Paul MN 55109 |
| Practice Telephone | 6517730473 |
| Practice Fax Number | 6517739298 |
| Mailing Telephone | 6517730473 |
| Mailing Fax Number | 6517739298 |
| Enumeration Date | 2008-12-03 |
| Last Update Date | 2009-07-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
301686 | MN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215595178 | Jennifer Long | Acupuncturist | 1245 N Riverside Ave Ste 14, Medford, OR 97501-4655 | 2019-06-04 |
| 1265990501 | Jennifer Long | Chiropractor | 17280 Cherrywood Ct Unit 6002, Bonita Springs, FL 34135-8957 | 2019-03-06 |
| 1891221792 | Jennifer Mildred Long | Social Worker | 3314 16th Ave Se Ste 205, Conover, NC 28613-9694 | 2017-05-11 |
| 1164979159 | Jennifer Long | Registered Nurse | 1400 Sylvan Cir, Rochester Hills, MI 48307-2967 | 2016-09-07 |
| 1982054565 | Jennifer Elizabeth Long | Occupational Therapist | 2090 State Route 27, Suite 105, Low Vision Center of Central New Jersey, North Brunswick, NJ 08902-3450 | 2016-06-15 |
| 1154794956 | Jennifer Long | Audiologist | Uwmc Center On Human Development and Disability, 1959 Ne Pacific St., Seattle, WA 98195 | 2015-11-03 |
| 1629395538 | Jennifer Long | Pharmacist | 446 W Main St, Monongahela, PA 15063-2552 | 2010-05-01 |
| 1669657748 | Jennifer Lynn Long | Otolaryngology | 200 Medical Plaza Suite 550, Los Angeles, CA 90095-6975 | 2008-01-08 |
| 1790830065 | Jennifer Lynn Long | Physical Therapist | 7158 Schock Rd, Palms, MI 48465-9716 | 2007-01-24 |
| 1164515169 | Jennifer Allen Long | Nurse Practitioner | 2400 Hospital Dr Ste 400, Bossier City, LA 71111-2401 | 2006-10-02 |
| Street Address |
1351 FROST AVENUE SENIOR RECOVERY PROGRAM |
| City | ST. PAUL |
| State | MN |
| Zip Code | 55109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366063828 | Jodi May Begordis | Registered Nurse | 2586 7th Ave East, Suite 302, North St Paul, MN 55109 | 2020-05-06 |
| 1467917146 | Alejandro Diez Freire | Social Worker | 2468 Germain St, Maplewood, MN 55109 | 2019-02-06 |
| 1679099667 | Rochelle Marie Clarke | Registered Nurse | 2586 7th Ave East Suite 302, North Saint Paul, MN 55109 | 2017-08-21 |
| 1497298210 | Salams Care Residential, LLC | Home Health | 2240 Ide Ct, Maplewood, MN 55109 | 2016-11-28 |
| 1093199630 | Garry Allen | Psychologist | 2345 Ariel St North Mail Stop 13601a, Maplewood, MN 55109 | 2015-07-14 |
| 1700264751 | Matthew Seng Thao | Student in an Organized Health Care Education/Training Program | 1470 Gervais Ave, Maplewood, MN 55109 | 2015-05-11 |
| 1326458340 | Chong Chang | Counselor | 1705 Cope Ave E Ste I, Maplewood, MN 55109 | 2014-04-29 |
| 1619396488 | Leah Anne Downey | Occupational Therapist | 2399 Ariel St. N., Children's Theraplay, LLC, Maplewood, MN 55109 | 2014-04-09 |
| 1356765440 | Group Health Plan, Inc | Clinic/Center | 2520 12th Ave E, North St Paul, MN 55109 | 2014-02-10 |
| 1336560275 | Veneman Dental Care, Pa | Dentist | 1774 Cope Ave, Suite 110, Maplewood, MN 55109 | 2013-12-19 |
| Find all providers in zip 55109 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629541644 | Michael P Cain | Counselor | 1821 University Ave West, Suite N385, St. Paul, MN 55104 | 2019-01-03 |
| 1134621600 | Lauren Fullerton | Counselor | 1821 University Ave W., Suite N385, St. Paul, MN 55104 | 2018-03-01 |
| 1053715086 | Suzanne Theresa Brannan | Counselor | 797 East 7th St., Clues Chemical Health, St. Paul, MN 55106 | 2014-10-20 |
| 1922398809 | Michelle Marie Diffenbaugh | Counselor | 1885 University Ave, Suite 246, St. Paul, MN 55104-3489 | 2011-04-13 |
| 1265769418 | Dakota Baker | Counselor | 1360 Energy Park Drive Suite 340, St. Paul, MN 55108 | 2009-11-09 |
| 1073989844 | Glen Oglesby | Counselor | 366 Prior Ave N, Suite 204, St. Paul, MN 55104-5165 | 2015-08-17 |
| 1851617625 | Joyce Jacqueline Terhorst | Counselor | 858 Terrace Court, #b., St. Paul, MN 55130-4236 | 2010-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386456 | Alexandra Lloyd Conroy | Counselor | 3227 Lake Shore Boulevard, Minnetonka, MN 55391 | 2020-11-07 |
| 1134720212 | Rachel Renee Przekwas | Counselor | 216 Center St W Ste 101, Roseau, MN 56751-1494 | 2020-11-04 |
| 1568062461 | Andrew Moe | Counselor | 2118 Blaisdell Ave S., Minneapolis, MN 55404 | 2020-10-29 |
| 1215537477 | Hannah Mae Kidder | Counselor | 1605 Welcome Ave N, Golden Valley, MN 55422-4429 | 2020-10-27 |
| 1649879339 | Jordan Lowe | Counselor | 4615 Grand Ave Ste 300, Duluth, MN 55807-2749 | 2020-10-22 |
| 1417556762 | Jacob R Poppinga | Counselor | 13045 Falcon Dr Ste 7404th, Baxter, MN 56425-4201 | 2020-10-19 |
| 1598362014 | Jeremy Krekula | Counselor | 102 Main St N Ste 100, Stewartville, MN 55976-2608 | 2020-10-07 |
| 1235736786 | Catherine Ann Jaksha | Counselor | 1180 Cushing Cir Apt 217, Saint Paul, MN 55108-5016 | 2020-10-07 |
| 1952908881 | Sutton Outpatient Services, LLC | Counselor | 1700 Livingston Ave Ste 120, West St Paul, MN 55118-5938 | 2020-10-05 |
| 1750998423 | Recovery Alliance Duluth | Counselor | 206 W 4th St Ste 203, Duluth, MN 55806-2659 | 2020-09-28 |
| Find all providers with the same taxonomy | ||||
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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.