Individual provider Active NPI

Christina Sue Long, MS ED, LPCC

  • Mental Health Counselor
  • Sharon, PA
National Provider Identifier
1437163839
Registry record updated May 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
87 Stambaugh Avenue
Suite 5
Sharon, PA 16146
Phone
(724) 982-0414
Fax
(724) 982-4407
NPI assigned
Jul 28, 2006
Last updated
May 7, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

87 Stambaugh Avenue
Suite 5
Sharon, PA 16146

Mailing address

816 Pearson Cir Unit 6
Youngstown, OH 44512-5767
Phone (330) 519-9581

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20240126000790 OH Practitioner - Mental Health Counselor 7517310576 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2003
Medicare assignment
May accept Medicare assignment
Group practices
Southwoods Counseling LLCGroup PAC ID 1355476896, 6 clinicians

Practice addresses (Care Compare)

833 Boardman Canfield Rd
Suite 105
Boardman, OH 44512-4236
Phone (330) 953-1964

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Southwoods Counseling LLC CurrentSince Jan 1, 2024 Accepting new patients
Associates in Psychiatry, Inc. CurrentSince May 11, 2024 Accepting new patients
St Michaels Harbour Inc Past Accepting new patients

Locations

833 Boardman Canfield Rd
Youngstown, OH 44512
Phone (330) 270-9011

833 Boardman Canfield Rd
Ste 105
Youngstown, OH 44512
Phone (330) 758-9751

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557187200000",
    "number": "1437163839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 PEARSON CIR UNIT 6",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445125767",
            "telephone_number": "330-519-9581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 STAMBAUGH AVENUE",
            "address_2": "SUITE 5",
            "city": "SHARON",
            "state": "PA",
            "postal_code": "16146",
            "telephone_number": "724-982-0414",
            "fax_number": "724-982-4407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "CHRISTINA",
        "middle_name": "SUE",
        "name_prefix": "Mrs.",
        "credential": "MS ED, LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-28",
        "last_updated": "2019-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sharon, PA

Sources for this page

Verify at the official NPI Registry.