Active NPI
Sarah Elizabeth Long, PSYD, LCP
- Clinical Psychologist
- Golden, CO
National Provider Identifier
1043596893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY.0004897
- Practice address
- 1800 Jackson St Ste 203
Golden, CO 80401-2303 - Phone
- (720) 594-3208
- NPI assigned
- Oct 25, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC-1240 | WY | |
| Clinical Psychologist | 103TC0700X | PSY.0004897 | CO | Primary |
Addresses
Primary practice location
1800 Jackson St Ste 203
Golden, CO 80401-2303
Mailing address
875 Ponderosa Dr
Evergreen, CO 80439-4803
Phone (307) 690-4179
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 |
|---|---|---|---|
| LPC-1240 | WY | MD | Professional Counselor |
| PSY.0004897 | CO | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542412800000",
"number": "1043596893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "875 PONDEROSA DR",
"city": "EVERGREEN",
"state": "CO",
"postal_code": "804394803",
"telephone_number": "307-690-4179"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 JACKSON ST STE 203",
"city": "GOLDEN",
"state": "CO",
"postal_code": "804012303",
"telephone_number": "720-594-3208"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LONG",
"first_name": "SARAH",
"middle_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "PSYD, LCP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-10-25",
"last_updated": "2018-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WY",
"license": "LPC-1240",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CO",
"license": "PSY.0004897",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Golden, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.