Connie Ann Long

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

2727 MLK Blvd
Eugene, OR 97401-5901

Phone

(541) 682-7948

NPI assigned

Mar 26, 2014

Last updated

Jan 11, 2024By the provider in NPPES

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

Practice roles

Locations

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.

• Grove Care Clinic LLC

  • Primary Care Clinic/Center
  • Cottage Grove, OR
  • NPI 1831902261
  NPD
• Healing Spirit Integrative Health Center Inc

  • Primary Care Clinic/Center
  • Eugene, OR
  • NPI 1013114172
  NPD

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

{
    "created_epoch": "1395792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704931200000",
    "number": "1053738120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 MLK BLVD",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974015901",
            "telephone_number": "541-682-7948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 MLK BLVD",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974015901",
            "telephone_number": "541-682-7948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "CONNIE",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-26",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lone Oak Al, LLC (Lone Oak Assisted Living)
• Matthew Lonergan, MD
• Matthew J Lonergan, LMT
• Lonerock Clinic LLC (Mind Med Mental Health)
• Carlee Long, OTR/L
• Janet Marie Long, LPN
• Madison May Long
• Marcia Gail Long, M.S.W., L.C.S.W.
• Miah Long, LPC
• Nasya Longmire

• Counselor in Eugene, OR
• Providers in Eugene, OR by specialty
• Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; 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.