Libby Renae Marcolongo, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MT4412 Issued in FL

Practice address

81 St Hwy 83 N Ste a
Defuniak Springs, FL 32433-7487

Phone

(719) 286-3338

NPI assigned

Jul 21, 2019

Last updated

Jan 18, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Marriage and Family Therapist

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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.

• Emerald Springs Family Counseling LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Defuniak Springs, FL
  • NPI 1992566889
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1563667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705536000000",
    "number": "1265085096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 ST HWY 83 N STE A",
            "city": "DEFUNIAK SPRINGS",
            "state": "FL",
            "postal_code": "324337487",
            "telephone_number": "719-286-3338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 ST HWY 83 N STE A",
            "city": "DEFUNIAK SPRINGS",
            "state": "FL",
            "postal_code": "324337487",
            "telephone_number": "719-286-3338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCOLONGO",
        "first_name": "LIBBY",
        "middle_name": "RENAE",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-21",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CO",
            "license": "MFT.0001866",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT4412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "renae@esfc.live",
            "affiliation": "Y",
            "affiliationName": "Emerald Springs Family Counseling LLC",
            "address_1": "81 St Hwy 83 N Ste A",
            "city": "Defuniak Springs",
            "state": "FL",
            "country_code": "US",
            "postal_code": "324337487",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Diane Campbell Little, ARNP
• Christina Lowry
• Robert Lowry, ARNP
• LP de Funiak Springs LLC (Chautauqua Rehabilitation & Nursing Center)
• Edward Bryce Mandel, D.D.S., M.S.
• Heather Lynn Marshall, BCBA
• Mash Inc
• Kristi Katherine Mason, LMT
• Lisa Black Mason, PHARM.D.
• Theresa Marie Mattraw, LMHC

• Marriage & Family Therapist in Defuniak Springs, FL
• Providers in Defuniak Springs, FL by specialty
• Marriage & Family Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.