Active NPI
Nancy Ignacia Longoria, PHD
- Marriage & Family Therapist
- Ontario, OR
National Provider Identifier
1376945089
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 85000189A
- Practice address
- 702 Sunset Dr
Ontario, OR 97914-3121 - Phone
- (541) 889-9167
- NPI assigned
- Sep 24, 2014
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 85000189A | IN | Primary |
Addresses
Primary practice location
702 Sunset Dr
Ontario, OR 97914-3121
Mailing address
702 Sunset Dr
Ontario, OR 97914-3121
Phone (541) 889-9167
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 85000189A | IN | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifeways, Inc | Current | Accepting new patients | |
| Lifeways, Inc | Current | Accepting new patients | |
| Lifeways, Inc | Current | Accepting new patients |
Locations
702 Sunset Dr
Ontario, OR 97914
Phone (541) 823-9041
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.
-
- Community/Behavioral Health Agency
- Ontario, OR
- NPI 1568558955
-
- Psychiatric Residential Treatment Facility
- Hermiston, OR
- NPI 1144761784
-
- Community/Behavioral Health Agency
- Pendleton, OR
- NPI 1932295326
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1411516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411516800000",
"number": "1376945089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "702 SUNSET DR",
"city": "ONTARIO",
"state": "OR",
"postal_code": "979143121",
"telephone_number": "541-889-9167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "702 SUNSET DR",
"city": "ONTARIO",
"state": "OR",
"postal_code": "979143121",
"telephone_number": "541-889-9167"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LONGORIA",
"first_name": "NANCY",
"middle_name": "IGNACIA",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-24",
"last_updated": "2014-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "IN",
"license": "85000189A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ontario, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.