Active NPI
Alicia N Long, ALC
- Mental Health Counselor
- Montgomery, AL
National Provider Identifier
1013669951
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- C3793A
- Practice address
- 338 Mooreland Rd
Montgomery, AL 36104-5471 - Phone
- (334) 221-0727
- NPI assigned
- Jan 21, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | C3793A | AL | Primary |
Addresses
Primary practice location
338 Mooreland Rd
Montgomery, AL 36104-5471
Mailing address
338 Mooreland Rd
Montgomery, AL 36104-5471
Phone (334) 221-0727
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C3793A | AL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mindful Solutions | Mental Health | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642723200000",
"number": "1013669951",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "338 MOORELAND RD",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361045471",
"telephone_number": "334-221-0727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "338 MOORELAND RD",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361045471",
"telephone_number": "334-221-0727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LONG",
"first_name": "ALICIA",
"middle_name": "N",
"name_prefix": "Ms.",
"credential": "ALC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-01-21",
"last_updated": "2022-01-21",
"certification_date": "2022-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AL",
"license": "C3793A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Montgomery, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.