Lakita Denise Long, MS

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

79723 Issued in CA

Practice address

915 W 4TH St
Antioch, CA 94509-1118

Phone

(925) 238-8711

NPI assigned

Jan 31, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Inspiring You Ministries, Inc.

  • Mental Health Counselor
  • Antioch, CA
  • NPI 1699317222
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414454400000",
    "number": "1043357809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3902",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945313902",
            "telephone_number": "925-238-8711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 W 4TH ST",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945091118",
            "telephone_number": "925-238-8711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "LAKITA",
        "middle_name": "DENISE",
        "name_prefix": "Ms.",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2014-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "79723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexxis Lomack
• Michelle Lomax, PPS
• Michele Lomelino Valencia, O.D.
• Lone Tree Convalescent Hospital, Inc.
• Lone Tree Optometry, Inc.
• Longs Drug Stores California LLC
• Artiben Loomas
• Christian Looney
• Ayisha Lopes
• Destiny Lopez

• Marriage & Family Therapist in Antioch, CA
• Providers in Antioch, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.