Janika Long

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW-1136 Issued in WY

Practice address

350 City View Dr Ste 206
Evanston, WY 82930-5326

Phone

(307) 789-7915

Fax

(307) 789-6009

NPI assigned

Dec 7, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in WY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pioneer Counseling ServicesGroup PAC ID 8426030156, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Pioneer Counseling Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Evanston, WY
  • NPI 1093792095
  Medicare reassignment Care Compare group NPD
• Pioneer Counseling Services

  • Mental Illness Community Based Residential Treatment Facility
  • Evanston, WY
  • NPI 1033954474
  NPD

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

{
    "created_epoch": "1638835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704412800000",
    "number": "1073271078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 CITY VIEW DR STE 206",
            "city": "EVANSTON",
            "state": "WY",
            "postal_code": "829305326",
            "telephone_number": "307-789-7915",
            "fax_number": "307-789-6009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 CITY VIEW DR STE 206",
            "city": "EVANSTON",
            "state": "WY",
            "postal_code": "829305326",
            "telephone_number": "307-789-7915",
            "fax_number": "307-789-6009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "JANIKA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-07",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WY",
            "license": "LCSW-1136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rhonda J Lewis, DOM., LAC., MSOM
• Lincare Inc.
• Makenna Link, BSW
• Lisa Faulkner
• Talen Little, DPT
• Rena Lowe
• Amber Michelle Lowrey, PCSW
• Kaitlyn Lowry
• Ed Davis Lyles, LCSW
• Tammy Maestas

• Clinical Social Worker in Evanston, WY
• Providers in Evanston, WY by specialty
• Clinical Social Worker in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.