Amanda M. Longie, MAPC, MAHR, LADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

304052 Issued in MN

Practice address

403 4TH St NW
Suite 300
Bemidji, MN 56601-3142

Phone

(218) 444-5155

Fax

(218) 333-3291

NPI assigned

Dec 29, 2014

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1419811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419811200000",
    "number": "1295123230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3004",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566193004",
            "telephone_number": "218-444-5155",
            "fax_number": "218-333-3921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 4TH ST NW",
            "address_2": "SUITE 300",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566013142",
            "telephone_number": "218-444-5155",
            "fax_number": "218-333-3291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONGIE",
        "first_name": "AMANDA",
        "middle_name": "M.",
        "name_prefix": "Mrs.",
        "credential": "MAPC, MAHR, LADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-29",
        "last_updated": "2014-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "304052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cody Link, OTR/L
• Randall Wayne Lish, DC
• Susanna Joy Little Elk, APRN, CNP
• Brian Paul Livermore, M.D.
• Sarah Marie Lofgren, MD
• Andrea May Lucca, LICSW
• Korbyn Lucking, DC
• Megan Ann Ludwick, RD, LD
• John Eric Lueth, DDS
• Lukes Chiropractic and Wellness, P.L.L.C.

• Addiction (Substance Use Disorder) Counselor in Bemidji, MN
• Providers in Bemidji, MN by specialty
• Addiction (Substance Use Disorder) Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2014; 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.