Patricia Long, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

86283 Issued in CA

Practice address

315 Wall St Ste 1
Chico, CA 95928-7800

Phone

(530) 828-1876

NPI assigned

Apr 21, 2015

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

Opted out of Medicare

Previously, effective Aug 6, 2024 through Aug 6, 2026

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Katy Luallen, Marriage & Family Therapist, PC

  • Marriage & Family Therapist
  • Chico, CA
  • NPI 1154021665
  NPD (past)

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

{
    "created_epoch": "1429574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600646400000",
    "number": "1366839011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 WALL ST STE 1",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959287800",
            "telephone_number": "530-828-1876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 WALL ST STE 1",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959287800",
            "telephone_number": "530-828-1876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "PATRICIA",
        "name_prefix": "Ms.",
        "credential": "MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-21",
        "last_updated": "2020-09-21",
        "certification_date": "2020-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "86283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harry Lomas IV, M.D.
• Baneli Lomeli
• Bradley Dean Long, RASI
• Donald Wayne Long II
• Heather Leigh Long
• Traci Long
• Lauren Michele Longoria
• Longs Drug Stores California, L.L.C. (CVS Pharmacy #07128)
• Longs Drug Stores California, LLC (CVS Pharmacy #07506)
• Dave Loomba, M.D.

• Marriage & Family Therapist in Chico, CA
• Providers in Chico, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.