Jeri Kay Long-Kao, LPC, MA MFT

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

77201 Issued in TX

Practice address

206 N State St Ste 209
Decatur, TX 76234-1444

Phone

(940) 577-1848

NPI assigned

Oct 29, 2018

Last updated

Oct 29, 2018By 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 1

Addresses

Other names 1

• Ms. Jeri Kay Kao Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jul 16, 2024 through Jul 16, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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.

• Thinkspace Therapy

  • Mental Health Counselor
  • Decatur, TX
  • NPI 1992456776
  NPD Authorized official

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

{
    "created_epoch": "1540771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540771200000",
    "number": "1255808176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 477",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "762340477",
            "telephone_number": "940-577-1848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 N STATE ST STE 209",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "762341444",
            "telephone_number": "940-577-1848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG-KAO",
        "first_name": "JERI",
        "middle_name": "KAY",
        "name_prefix": "Ms.",
        "credential": "LPC, MA MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-29",
        "last_updated": "2018-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "77201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JERI",
            "last_name": "KAO",
            "middle_name": "KAY",
            "prefix": "MS.",
            "credential": "LPC, MA MFT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Robin Little, LPC-A
• Live Oak Holdings, LLC (Governor's Ridge Retirement)
• Live Oak Management, L.P.
• Neil Frederick Livingston VI, BSN
• Lonestar Surgical Specialist, PA
• Thomas N Long, MD
• Ericka Lupardus, DC
• Brenna Mackenzie Lynch
• Amy Michelle Lynd, FNP-C
• Steven Maddox, PHARMD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.