Tiffany Nicole Longjohn, MS, NCC, LPCA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A10578 Issued in NC

Practice address

1510 Martin St
Winston Salem, NC 27103-4906

Phone

(336) 760-1330

Fax

(336) 760-1341

NPI assigned

Jan 29, 2014

Sex

Female

Sole proprietor

No

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

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1390953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393459200000",
    "number": "1295158061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 MARTIN ST",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271034906",
            "telephone_number": "336-760-1330",
            "fax_number": "336-760-1341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 MARTIN ST",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271034906",
            "telephone_number": "336-760-1330",
            "fax_number": "336-760-1341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONGJOHN",
        "first_name": "TIFFANY",
        "middle_name": "NICOLE",
        "credential": "MS, NCC, LPCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-29",
        "last_updated": "2014-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A10578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy B Long, LCSW
• Shayla Long, CADC
• Seth Thomas Longbottom, MS, CCC-SLP
• Longevity and Performance Clinic, PLLC
• Grace Anne Longfellow
• Benjamin Maclean Longton
• Monica Prescott Lonon
• Konstantinos Lontos, M.D.
• Carnary Loos
• McKenzie Ann Loos, PA-C

• Mental Health Counselor in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.