Rochelle Roxanne Long, MR LMHC CDP

Primary specialty

CounselorTaxonomy code 101Y00000X

License

LH00007726 Issued in WA

Practice address

1106 Columbia Ave
Ste 100
Marysville, WA 98270

Phone

(360) 653-0374

Fax

(360) 658-0219

NPI assigned

Dec 28, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

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 and National Provider Directory roles.

• Tulalip Tribes of Washington

  • General Practice Physician
  • Tulalip, WA
  • NPI 1770531501

  TX

  Medicare reassignment NPD
• Tulalip Tribes of Washington

  • Public Health & General Preventive Medicine Physician
  • Tulalip, WA
  • NPI 1013138924
  NPD
• Tulalip Tribes of Washington

  • Optometrist
  • Tulalip, WA
  • NPI 1831946797
  NPD

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708300800000",
    "number": "1447316070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 COLUMBIA AVE",
            "address_2": "STE 100",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "98270",
            "telephone_number": "360-653-0374",
            "fax_number": "360-658-0219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 COLUMBIA AVE",
            "address_2": "STE 100",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "98270",
            "telephone_number": "360-653-0374",
            "fax_number": "360-658-0219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "ROCHELLE",
        "middle_name": "ROXANNE",
        "name_prefix": "Ms.",
        "credential": "MR LMHC CDP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-28",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "LH00007726",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "7726CO",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessie Li-Wei Liu, O.D.
• Xuan Liu, PT
• Living Well Pain Center
• Kateri Tekakwitha Loe
• Mark A Loesell, RPH
• Ashley Arlene Loomis, LMP
• Angelina M Lopez, LMP
• Jacqueline Lopez, M.A., CCC-SLP
• Jessica Maria Lopez
• Misky Kusii Lopez, DDS

• Counselor in Marysville, WA
• Providers in Marysville, WA by specialty
• Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2024; 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.

Verify at the official NPI Registry.