Long Bridges

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Legal business name

LONG BRIDGES

Practice address

149 Gene Hill Rd
Mount Airy, NC 27030-9072

Phone

(336) 553-8147

NPI assigned

Feb 10, 2025

Organization subpart

No

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

Authorized official

Name

Jacob Bradley Long, LCMHC, LPC, QSNPI 1083335285

Title

Ceo

Phone

(336) 553-8147

Specialties & licenses 4

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jacob Long, MA

  • Mental Health Counselor
  • Mount Airy, NC
  • NPI 1083335285
  NPD Authorized official

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

{
    "created_epoch": "1739145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739664000000",
    "number": "1508671256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 GENE HILL RD",
            "city": "MOUNT AIRY",
            "state": "NC",
            "postal_code": "270309072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 GENE HILL RD",
            "city": "MOUNT AIRY",
            "state": "NC",
            "postal_code": "270309072",
            "telephone_number": "336-553-8147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG BRIDGES",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-10",
        "last_updated": "2025-02-16",
        "certification_date": "2025-02-16",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "BRADLEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "336-553-8147",
        "authorized_official_credential": "LCMHC, LPC, QS"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward P Leverett, PT
• Vanessa America Leyva, MSW, LCSWA
• Lifespan, Inc.
• Emily Lindsey
• Living Waters Prisoner Ministeries
• Jacob Long, MA
• Jose R Lopez, M.D.
• Lovell Medical Supply Inc
• Betty Lovell
• Nicole Grey Lovill

• Peer Specialist in Mount Airy, NC
• Providers in Mount Airy, NC by specialty
• Peer Specialist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2025; 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.