Longbranch Outpatient Recovery, LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

LONGBRANCH OUTPATIENT RECOVERY, LLC

Practice address

335 W Parker Rd
Jonesboro, AR 72404-8409

Phone

(504) 635-3535

Fax

(985) 273-3869

NPI assigned

Aug 25, 2020

Organization subpart

No

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

Authorized official

Name

Emily Elizabeth Meyers, LPCNPI 1255879078

Title

Ceo

Phone

(920) 309-0541

Specialties & licenses 13

Addresses

Other names 1

• Longbranch Wellness Doing business as

Tax ID family

Longbranch Outpatient Recovery LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Longbranch Outpatient Recovery, LLC

  • Recovery Care Clinic/Center
  • Metairie, LA
  • NPI 1578091104
  NPD tax ID
• Longbranch Outpatient Recovery, LLC

  • Recovery Care Clinic/Center
  • Metairie, LA
  • NPI 1790508372
  NPD tax ID

Locations

Practitioners 6

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

• Emily Elizabeth Meyers, LPC

  • Mental Health Counselor
  • Abita Springs, LA
  • NPI 1255879078

  Mental Health

  NPD (past) Authorized official
• John Holland Counce, PLPC

  • Professional Counselor
  • Metairie, LA
  • NPI 1346863339

  Professional

  NPD
• Katherine McGuire, PLPC

  • Mental Health Counselor
  • Metairie, LA
  • NPI 1063043354

  Mental Health

  NPD
• Brian Edward Hirsius, PLPC

  • Addiction (Substance Use Disorder) Counselor
  • Gretna, LA
  • NPI 1215571567

  Addiction (Substance Use Disorder)

  NPD (past)
• Alexandra Elise Blitzer Holt, LPC

  • Counselor
  • Albany, GA
  • NPI 1710502463
  NPD (past)
• William Craig Laseur, LAC

  • Addiction (Substance Use Disorder) Counselor
  • Metairie, LA
  • NPI 1770274839

  Addiction (Substance Use Disorder)

  NPD (past)

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

{
    "created_epoch": "1598313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709078400000",
    "number": "1184237653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2329 EDENBORN AVE",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700011815",
            "telephone_number": "504-267-9960",
            "fax_number": "504-267-9969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 W PARKER RD",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724048409",
            "telephone_number": "504-635-3535",
            "fax_number": "985-273-3869"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2329 Edenborn Ave",
            "address_purpose": "LOCATION",
            "city": "Metairie",
            "state": "LA",
            "postal_code": "700011815",
            "country_code": "US",
            "telephone_number": "504-635-3535",
            "fax_number": "985-273-3869",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "406 N Florida St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Covington",
            "state": "LA",
            "postal_code": "704332966",
            "country_code": "US",
            "telephone_number": "504-635-3535",
            "fax_number": "985-273-3869",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "701 Metairie Rd Ste 2A301",
            "address_purpose": "LOCATION",
            "city": "Metairie",
            "state": "LA",
            "postal_code": "700054045",
            "country_code": "US",
            "telephone_number": "504-267-9960",
            "fax_number": "504-267-9969",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LONGBRANCH OUTPATIENT RECOVERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-25",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A",
        "authorized_official_last_name": "MEYERS",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "920-309-0541",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
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            "primary": false
        },
        {
            "code": "103TP0016X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Recovery Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Longbranch Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Longbranch Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kenneth Long
• Paula Long
• Taylor S Long, FNP
• Tina Long
• Yuanyuan Long, MD
• Kelly Longino
• Elizabeth Lopez
• Adrienne Lorimer
• Alyssa Lott, MHPP
• Jacklyn Lott, LPN

• All providers in Jonesboro, AR
• Substance Abuse Rehabilitation Facility in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.