Individual provider Active NPI

Emily Rose Long, LAC

  • Addiction (Substance Use Disorder) Counselor
  • Frisco, CO
National Provider Identifier
1194593905
Registry record updated Jun 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
ACD.0002648 Issued in CO
Practice address
360 Peak One Dr
Frisco, CO 80443-5948
Phone
(970) 485-6676
NPI assigned
Dec 12, 2023
Last updated
Jun 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X ACD.0002648 CO Primary

Addresses

Primary practice location

360 Peak One Dr
Frisco, CO 80443-5948

Mailing address

PO Box 2722
Frisco, CO 80443-2722
Phone (720) 486-5553

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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

Enrollment IDStateProvider typePAC IDDetails
I20251222002909 CO Practitioner - Mental Health Counselor 2769977255 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

88 Inverness Cir E
Suite 103
Englewood, CO 80112-5510

PO Box
Suite 919
Aurora, CO 80040-0919

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ACD.0002648COMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mile High Council on Alcoholism and Drug Abuse CurrentSince Aug 22, 2025 Accepting new patients
Mile High Council on Alcoholism and Drug Abuse CurrentSince Aug 22, 2025 Accepting new patients
Mile High Council on Alcoholism and Drug Abuse Past Accepting new patients
Mile High Council on Alcoholism and Drug Abuse Past Accepting new patients
Mile High Council on Alcoholism and Drug Abuse Past Accepting new patients
Mile High Council on Alcoholism and Drug Abuse Past Accepting new patients
Mile High Council on Alcoholism and Drug Abuse Addiction (Substance Use Disorder) Past Accepting new patients
Mile High Council on Alcoholism and Drug Abuse Past Accepting new patients
Mile High Council on Alcoholism and Drug Abuse Past Accepting new patients
Mile High Council on Alcoholism and Drug Abuse Past Accepting new patients
Mile High Council on Alcoholism and Drug Abuse Past Accepting new patients
Mile High Council on Alcoholism and Drug Abuse Past Accepting new patients
Mile High Council on Alcoholism and Drug Abuse Past Accepting new patients
Mile High Council on Alcoholism and Drug Abuse Addiction (Substance Use Disorder) Past Accepting new patients
Mile High Council on Alcoholism and Drug Abuse Past Accepting new patients
Mile High Council on Alcoholism and Drug Abuse Addiction (Substance Use Disorder) Past Accepting new patients
Mile High Council on Alcoholism and Drug Abuse Past Accepting new patients
Mile High Council on Alcoholism and Drug Abuse Past Accepting new patients
Mile High Council on Alcoholism and Drug Abuse Past Accepting new patients
Mile High Council on Alcoholism and Drug Abuse Past Accepting new patients
Mile High Council on Alcoholism and Drug Abuse Past Accepting new patients
Mile High Council on Alcoholism and Drug Abuse Past Accepting new patients
Mile High Council on Alcoholism and Drug Abuse Addiction (Substance Use Disorder) Past Accepting new patients
Mile High Council on Alcoholism and Drug Abuse Past Accepting new patients
Mile High Council on Alcoholism and Drug Abuse Past Accepting new patients
Mile High Council on Alcoholism and Drug Abuse Addiction (Substance Use Disorder) Past Accepting new patients
Mile High Council on Alcoholism and Drug Abuse Past Accepting new patients
Mile High Council on Alcoholism and Drug Abuse Past Accepting new patients

Locations

10190 E Montview Blvd
Aurora, CO 80010
Phone (303) 318-4242

2178 Victor St
Aurora, CO 80045
Phone (303) 341-9160

4242 Delaware St
Denver, CO 80216
Phone (720) 382-5900

3460 S Federal Blvd
Sheridan, CO 80110
Phone (303) 761-0200

Organizations & group practices 28

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.

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1702339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749686400000",
    "number": "1194593905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2722",
            "city": "FRISCO",
            "state": "CO",
            "postal_code": "804432722",
            "telephone_number": "720-486-5553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 PEAK ONE DR",
            "city": "FRISCO",
            "state": "CO",
            "postal_code": "804435948",
            "telephone_number": "970-485-6676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "EMILY",
        "middle_name": "ROSE",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-12",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "ACD.0002648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, CO

Sources for this page

Verify at the official NPI Registry.