Your Long Run LLC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

YOUR LONG RUN LLC

Practice address

2742 Fletcher St
Salem, VA 24153-2124

Phone

(540) 525-8113

NPI assigned

Jun 21, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kathy K Bush, LPC

Title

President/Provider

Phone

(540) 525-8113

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1498003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1255851283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2742 FLETCHER ST",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241532124",
            "telephone_number": "540-525-8113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2742 FLETCHER ST",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241532124",
            "telephone_number": "540-525-8113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR LONG RUN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-21",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BUSH",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT/PROVIDER",
        "authorized_official_telephone_number": "540-525-8113",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Guy E Young, DDS
• Jordan Webb Young, PA-C
• Kathryn Louise Young, DC
• Montana Young, RN
• Yalanda Young
• Tammy C'W Yu, PHARMD
• Syed Zaidi, MD
• Mufrad Zaman, MD
• Jonathan Zhang, DO
• Stacey Nicole Zysk, PHARMD

• Addiction (Substance Use Disorder) Counselor in Salem, VA
• Providers in Salem, VA by specialty
• Addiction (Substance Use Disorder) Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.