Active NPI
Clara Elizabeth Long, PHD, LPC, BCBA
- Professional Counselor
- Montgomery, AL
National Provider Identifier
1205333283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 3854
- Practice address
- 1320 Carmichael Way
Montgomery, AL 36106-3691 - Phone
- (334) 356-4900
- NPI assigned
- Apr 6, 2018
- Last updated
- Aug 23, 2022
- Sex
- Female
- 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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 2019-033 | AL | MD | Behavioral Analyst |
| 3854 | AL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Works of Wonder | Professional | Current | 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.