Active NPI
Samantha Long, PHD, LPC, RPT, NCC
- Professional Counselor
- Manassas, VA
National Provider Identifier
1033893557
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0701012461
- Practice address
- 9119 Church St
Manassas, VA 20110-5434 - Phone
- (571) 677-1066
- NPI assigned
- Jun 14, 2023
- Last updated
- Aug 24, 2026
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0701012461 | VA | Primary |
Addresses
Primary practice location
9119 Church St
Manassas, VA 20110-5434
Mailing address
9119 Church St
Manassas, VA 20110-5434
Phone (571) 677-1066
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 |
|---|---|---|---|
| 0701012461 | VA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Acadian Health Center Corporation | Professional | Current | Accepting new patients |
Locations
14950 Washington St
Ste 201
Haymarket, VA 20169
Phone (337) 853-2757
15125 Washington St
Ste 216
Haymarket, VA 20169
Phone (703) 753-2923
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787529600000",
"number": "1033893557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9119 CHURCH ST",
"city": "MANASSAS",
"state": "VA",
"postal_code": "201105434",
"telephone_number": "571-677-1066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9119 CHURCH ST",
"city": "MANASSAS",
"state": "VA",
"postal_code": "201105434",
"telephone_number": "571-677-1066"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LONG",
"first_name": "SAMANTHA",
"name_prefix": "Dr.",
"credential": "PHD, LPC, RPT, NCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-14",
"last_updated": "2026-08-24",
"certification_date": "2026-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701012461",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manassas, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.