Individual provider Active NPI

Carol A Long, LPC

  • Professional Counselor
  • Saint Louis, MO
National Provider Identifier
1346450616
Registry record updated Jan 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2004003782 Issued in MO
Practice address
1048 Cedargate Dr
Saint Louis, MO 63122-2427
Phone
(314) 717-6998
NPI assigned
May 23, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2004003782 MO Primary

Addresses

Primary practice location

1048 Cedargate Dr
Saint Louis, MO 63122-2427

Mailing address

1048 Cedargate Dr
Saint Louis, MO 63122-2427
Phone (314) 717-6998

Other practice location 1

10820 Sunset Office Dr Ste 240
Saint Louis, MO 63127-1030
Phone (314) 717-6998

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240621001521 MO Practitioner - Mental Health Counselor 1759824576 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

11166 Tesson Ferry Rd
Suite 300
Saint Louis, MO 63123-6966

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Provident Inc. CurrentSince Aug 12, 2024 Accepting new patients
Thrive Counseling LLC CurrentSince Jun 13, 2024 Accepting new patients
Provident Inc PastSince Aug 12, 2024 Accepting new patients

Locations

3685 W Outer Rd
Arnold, MO 63010
Phone (636) 223-0070

2650 Olive St
Saint Louis, MO 63103
Phone (314) 371-6500

11166 Tesson Ferry Rd
Ste 300
Saint Louis, MO 63123
Phone (314) 802-2647

1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767744000000",
    "number": "1346450616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1048 CEDARGATE DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631222427",
            "telephone_number": "314-717-6998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1048 CEDARGATE DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631222427",
            "telephone_number": "314-717-6998"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10820 Sunset Office Dr Ste 240",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631271030",
            "country_code": "US",
            "telephone_number": "314-717-6998",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LONG",
        "first_name": "CAROL",
        "middle_name": "A",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2004003782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.