Chad Longaker, M.ED. LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

60645976 Issued in WA

Practice address

1409 N Pittsburg St Ste C
Kennewick, WA 99336-8213

Phone

(509) 581-8875

NPI assigned

Jul 17, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

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

{
    "created_epoch": "1437091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493856000000",
    "number": "1275917338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 S PERRY PL",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993364209",
            "telephone_number": "509-987-4229",
            "fax_number": "509-357-8175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 N PITTSBURG ST STE C",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993368213",
            "telephone_number": "509-581-8875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONGAKER",
        "first_name": "CHAD",
        "credential": "M.ED. LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-17",
        "last_updated": "2017-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "60505492",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "60645976",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2066794",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jose Luis Loera, M.D.
• Vienna Dee Ann Loften, NP-C
• Ren'Ee Elizabeth Logman
• Angela Long, RN
• Jessica Lynn Long, PSYD
• Daniel Longhorn
• Miriam N/a Longoria, BSW
• Chevelle A Loomis
• Sonika Loona, MD
• Antonio Lopez-Ibarra, D.D.S

• Mental Health Counselor in Kennewick, WA
• Providers in Kennewick, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2017; 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.