Terri Long, LCPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

LC11009 Issued in MD

Practice address

1208 E Churchville Rd Ste 300
Bel Air, MD 21014-3485

Phone

(410) 893-4600

Fax

(443) 640-4358

NPI assigned

Oct 9, 2019

Last updated

Nov 23, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in MD

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

Specialty

Mental Health Counselor

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Safe Harbor Behavioral Care LLCGroup PAC ID 0345514675, 81 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Safe Harbor Behavioral Care, LLC

  • Clinical Social Worker
  • Bel Air, MD
  • NPI 1316487879
  Medicare reassignment Care Compare group NPD
• Safe Harbor Community Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bel Air, MD
  • NPI 1184209447
  NPD

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

{
    "created_epoch": "1570579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606089600000",
    "number": "1396387528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7015 CONCORD RD",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212086004",
            "telephone_number": "443-929-6393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208 E CHURCHVILLE RD STE 300",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210143485",
            "telephone_number": "410-893-4600",
            "fax_number": "443-640-4358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "TERRI",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-09",
        "last_updated": "2020-11-23",
        "certification_date": "2020-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MD",
            "license": "LC11009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Lodge
• Katherine Diem Anh Loi, OD
• Michael Steven Loiacono, DNP, AGPCNP-C,CRNP
• Marion P Lomonico, M.D.
• Long Integrated Psychiatric Services LLC
• Carrie Ann Lopano, MS, CCC-SLP
• Jennifer Loper, M.S., CCC-SLP
• Tiffany D Lopez, MSN, CRNP, WHNP-BC
• Mary Ann Lopus, LCPC
• Savanna Lorenzo

• Counselor in Bel Air, MD
• Providers in Bel Air, MD by specialty
• Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.