Individual provider Active NPI

Lori M Long, LPC

  • Professional Counselor
  • Abingdon, VA
National Provider Identifier
1245695196
Registry record updated Aug 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701006000 Issued in VA
Practice address
350 Russell Rd NW
Abingdon, VA 24210-2761
Phone
(276) 393-5728
Fax
(276) 628-1112
NPI assigned
Dec 18, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0701006000 VA Primary

Addresses

Primary practice location

350 Russell Rd NW
Abingdon, VA 24210-2761

Mailing address

PO Box 412
Abingdon, VA 24212-0412
Phone (276) 393-5728

Other identifiers 1

IdentifierTypeStateIssuer
601094525MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20240724002005 VA Practitioner - Mental Health Counselor 3173069374 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wings of Warriors CounselingGroup PAC ID 7810425543, 2 clinicians

Practice addresses (Care Compare)

350 Russell Rd NW
Abingdon, VA 24210-2761
Phone (276) 393-5728

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0701006000VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Wings of Warriors Counseling Professional CurrentSince Oct 28, 2024 Accepting new patients
Abingdon Center Counseling Group, Inc. CurrentSince Aug 6, 2023 Accepting new patients

Organizations & group practices 2

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": "1450396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1245695196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 412",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242120412",
            "telephone_number": "276-393-5728",
            "fax_number": "276-393-5728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 RUSSELL RD NW",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242102761",
            "telephone_number": "276-393-5728",
            "fax_number": "276-628-1112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "LORI",
        "middle_name": "M",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-18",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701006000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "601094525",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Abingdon, VA

Sources for this page

Verify at the official NPI Registry.