Chauncey Monroe Long Jr.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Practice address

16 E Auglaize St
Wapakoneta, OH 45895-1577

Phone

(567) 356-4400

NPI assigned

Dec 18, 2018

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1545091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545091200000",
    "number": "1427520311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1839 OLYMPIA CIR",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458055103",
            "telephone_number": "419-302-1974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 E AUGLAIZE ST",
            "city": "WAPAKONETA",
            "state": "OH",
            "postal_code": "458951577",
            "telephone_number": "567-356-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "CHAUNCEY",
        "middle_name": "MONROE",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-12-18",
        "last_updated": "2018-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracy Sue Lee
• Vanessa L Lee, MA CCCA
• Karen Lenhart
• Christie Lewis, M.A.CCC-SLP
• Lima Memorial Professional Corporation (LMPC Specialists at Wapakoneta)
• Jessie Lotz, LPN
• Barbara Lee Lovett, CARE COORDINATION
• Anna Luttmer, RN,BSN
• Melissa Ann Lutz, OPTICIAN
• Ashley N Lykins, MSW, LSW

• Community/Behavioral Health Agency in Wapakoneta, OH
• Providers in Wapakoneta, OH by specialty
• Community/Behavioral Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.