Active NPI
Diane Long, M.ED., LPC
- Counselor
- Lubbock, TX
National Provider Identifier
1164584629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 17725
- Practice address
- 8207 Hudson Ave
Lubbock, TX 79423-2805 - Phone
- (806) 780-0003
- Fax
- (806) 780-0007
- NPI assigned
- Dec 14, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 17725 | TX | Primary |
Addresses
Primary practice location
8207 Hudson Ave
Lubbock, TX 79423-2805
Mailing address
8207 Hudson Ave
Lubbock, TX 79423-2805
Phone (806) 780-0003
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
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17725 | TX | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1164584629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8207 HUDSON AVE",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794232805",
"telephone_number": "806-780-0003",
"fax_number": "806-780-0007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8207 HUDSON AVE",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794232805",
"telephone_number": "806-780-0003",
"fax_number": "806-780-0007"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LONG",
"first_name": "DIANE",
"credential": "M.ED., LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "TX",
"license": "17725",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lubbock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.