Organization Active NPI

Rodney Long Jr. Counseling, LLC.

  • Clinical Social Worker
  • Hudson, OH
National Provider Identifier
1053086843
Registry record updated May 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
RODNEY LONG JR. COUNSELING, LLC.
Practice address
10 W Streetsboro St
Hudson, OH 44236-2850
Phone
(330) 510-1388
NPI assigned
Aug 12, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2022

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

Authorized official

Name
Rodney Long Jr., MSSA, LISW-SNPI 1396109401
Title
Owner
Phone
(330) 958-4038

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

10 W Streetsboro St
Hudson, OH 44236-2850

Mailing address

162 Northeast Ave
PO Box 342
Tallmadge, OH 44278
Phone (330) 958-4038

Other identifiers 2

IdentifierTypeStateIssuer
0274713MedicaidOH
14558956OtherOHCAQH

National Provider Directory

National Provider Directory

Locations

2046 12th St SW
Akron, OH 44314

10 W Streetsboro St
Hudson, OH 44236
Phone (330) 510-1388

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1628726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653523200000",
    "number": "1053086843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "162 NORTHEAST AVE",
            "address_2": "PO BOX 342",
            "city": "TALLMADGE",
            "state": "OH",
            "postal_code": "44278",
            "telephone_number": "330-958-4038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 W STREETSBORO ST",
            "city": "HUDSON",
            "state": "OH",
            "postal_code": "442362850",
            "telephone_number": "330-510-1388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RODNEY LONG JR. COUNSELING, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-12",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-26",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-958-4038",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MSSA, LISW-S"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0274713",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "14558956",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 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.

Verify at the official NPI Registry.