Olanrewaju Suleiman-Long

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

85119 Issued in TX

Practice address

15835 Foothill Farms Loop Apt 2312
Pflugerville, TX 78660-3263

Phone

(140) 569-4144

NPI assigned

May 28, 2018

Last updated

Aug 16, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Deer Oaks Geriatric Services P C

  dba Deer Oaks Consultation Services

  • Clinical Psychologist
  • San Antonio, TX
  • NPI 1134169287
  Medicare reassignment NPD

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

{
    "created_epoch": "1527465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629072000000",
    "number": "1245721000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15835 FOOTHILL FARMS LOOP APT 2312",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786603263",
            "telephone_number": "405-694-1440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15835 FOOTHILL FARMS LOOP APT 2312",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786603263",
            "telephone_number": "140-569-4144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULEIMAN-LONG",
        "first_name": "OLANREWAJU",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-28",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OK",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "85119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Allison Mary Stuppy-Sullivan
• Jeri Anne Sukits, RN
• Summer Iris Dental PLLC (Smile Haus Pflugerville)
• Cindy Anne Summers, D.C.
• Sunbries LLC (sunbries)
• Alfred Sundqvist, D.C.
• Samantha Supernaw, LCSW

• Professional Counselor in Pflugerville, TX
• Providers in Pflugerville, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.