Active NPI
Robert Earl Longo, MRC
- Professional Counselor
- Lexington, NC
National Provider Identifier
1114253176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC #6484
- Practice address
- 214 Sunset Blvd
Lexington, NC 27292-7854 - Phone
- (336) 406-3006
- NPI assigned
- Oct 27, 2009
- Sex
- Male
- 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 #6484 | NC | Primary |
| Professional Counselor | 101YP2500X | LPC #C0695 | OR |
Addresses
Primary practice location
214 Sunset Blvd
Lexington, NC 27292-7854
Mailing address
214 Sunset Blvd
Lexington, NC 27292-7854
Phone (336) 406-3006
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 #6484 | NC | MD | Professional Counselor |
| LPC #C0695 | OR | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1256601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1256860800000",
"number": "1114253176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "214 SUNSET BLVD",
"city": "LEXINGTON",
"state": "NC",
"postal_code": "272927854",
"telephone_number": "336-406-3006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "214 SUNSET BLVD",
"city": "LEXINGTON",
"state": "NC",
"postal_code": "272927854",
"telephone_number": "336-406-3006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LONGO",
"first_name": "ROBERT",
"middle_name": "EARL",
"credential": "MRC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-10-27",
"last_updated": "2009-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "LPC #6484",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OR",
"license": "LPC #C0695",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lexington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.