Individual provider Active NPI

Clara Elizabeth Long, PHD, LPC, BCBA

  • Professional Counselor
  • Montgomery, AL
National Provider Identifier
1205333283
Registry record updated Aug 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
3854 Issued in AL
Practice address
1320 Carmichael Way
Montgomery, AL 36106-3691
Phone
(334) 356-4900
NPI assigned
Apr 6, 2018
Last updated
Aug 23, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 3854 AL Primary
Behavior Analyst 103K00000X 2019-033 AL

Addresses

Primary practice location

1320 Carmichael Way
Montgomery, AL 36106-3691

Mailing address

1320 Carmichael Way
Montgomery, AL 36106-3691
Phone (256) 710-6011

Other practice location 1

116 Three Notch Street
Troy, AL 36082-3069
Phone (334) 356-4900

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
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
2019-033ALMDBehavioral Analyst
3854ALMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Works of Wonder Professional CurrentSince Sep 1, 2019 Accepting new patients

Locations

1320 Carmichael Way
Montgomery, AL 36106
Phone (334) 310-5883

116 N 3Notch St
Troy, AL 36081
Phone (205) 234-0576

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1522972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661212800000",
    "number": "1205333283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 CARMICHAEL WAY",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361063691",
            "telephone_number": "256-710-6011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 CARMICHAEL WAY",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361063691",
            "telephone_number": "334-356-4900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "116 Three Notch Street",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "AL",
            "postal_code": "360823069",
            "country_code": "US",
            "telephone_number": "334-356-4900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LONG",
        "first_name": "CLARA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "PHD, LPC, BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-06",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "3854",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "AL",
            "license": "2019-033",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; 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.