Active NPI
Carrie Long
- Counselor
- Modesto, CA
National Provider Identifier
1316822596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- ASW116754
- Practice address
- 1213 Coffee Rd Ste P
Modesto, CA 95355-4229 - Phone
- (209) 527-8943
- NPI assigned
- Aug 7, 2025
- Last updated
- Aug 7, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | ASW116754 | CA | Primary |
Addresses
Primary practice location
1213 Coffee Rd Ste P
Modesto, CA 95355-4229
Mailing address
1428 Hazelnut Way
Manteca, CA 95337-7916
Phone (209) 603-4436
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
| License | State | Type | Specialty |
|---|---|---|---|
| ASW116754 | CA | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Downey Park Counseling Associates | Current | Accepting new patients |
Locations
1213 Coffee Rd
Ste P
Modesto, CA 95355
Phone (209) 527-8943
Organizations & group practices 1
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.
-
- Marriage & Family Therapist
- Modesto, CA
- NPI 1235991498
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1754524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754524800000",
"number": "1316822596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1428 HAZELNUT WAY",
"city": "MANTECA",
"state": "CA",
"postal_code": "953377916",
"telephone_number": "209-603-4436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1213 COFFEE RD STE P",
"city": "MODESTO",
"state": "CA",
"postal_code": "953554229",
"telephone_number": "209-527-8943"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LONG",
"first_name": "CARRIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-08-07",
"last_updated": "2025-08-07",
"certification_date": "2025-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "CA",
"license": "ASW116754",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Modesto, CA
- Adriana Lomeli
- Betsy Genesis Lomeli
- Eva Anjelina Lomeli, LCSW
- Nereida Lomeli, MFT-I
- Tony David Lomeli Jr., ANTONIO
- Katherine Long, PPS
- Jessica Alexis Longren
- Longs Drug Stores California LLC (CVS Pharmacy #09248)
- Longs Drug Stores California LLC (CVS Pharmacy #09874)
- Longs Drug Stores California LLC (CVS Pharmacy #09308)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.