Individual provider Active NPI

Michelle Longino, LMFT

  • Marriage & Family Therapist
  • New Orleans, LA
National Provider Identifier
1295836468
Registry record updated Dec 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT113 Issued in LA
Practice address
4829 Prytania St
Suite 200
New Orleans, LA 70115-4046
Phone
(504) 723-0782
Fax
(504) 861-8343
NPI assigned
Sep 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFT113 LA Primary

Addresses

Primary practice location

4829 Prytania St
Suite 200
New Orleans, LA 70115-4046

Mailing address

7444 Hurst St
Suite L
New Orleans, LA 70118-3641
Phone (504) 723-0782

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MFT113LAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480723200000",
    "number": "1295836468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7444 HURST ST",
            "address_2": "SUITE L",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701183641",
            "telephone_number": "504-723-0782",
            "fax_number": "530-527-4245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4829 PRYTANIA ST",
            "address_2": "SUITE 200",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701154046",
            "telephone_number": "504-723-0782",
            "fax_number": "504-861-8343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONGINO",
        "first_name": "MICHELLE",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2016-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "LA",
            "license": "MFT113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2016; 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.