Michelle Marie Long, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC.0012007 Issued in CO

Practice address

216 N 3Rd St
Sterling, CO 80751-4302

Phone

(970) 526-6577

Fax

(970) 965-0059

NPI assigned

Feb 29, 2016

Last updated

May 15, 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1456704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589500800000",
    "number": "1518327873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21473 COUNTY ROAD 74 # 55",
            "city": "PEETZ",
            "state": "CO",
            "postal_code": "807479611",
            "telephone_number": "970-520-9064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 N 3RD ST",
            "city": "STERLING",
            "state": "CO",
            "postal_code": "807514302",
            "telephone_number": "970-526-6577",
            "fax_number": "970-965-0059"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "216 N 3rd St",
            "address_purpose": "LOCATION",
            "city": "Sterling",
            "state": "CO",
            "postal_code": "807514302",
            "country_code": "US",
            "telephone_number": "970-526-6577",
            "fax_number": "970-965-0059",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "206 Magnolia Ln",
            "address_purpose": "LOCATION",
            "city": "Sterling",
            "state": "CO",
            "postal_code": "807512339",
            "country_code": "US",
            "telephone_number": "970-520-9064",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LONG",
        "first_name": "MICHELLE",
        "middle_name": "MARIE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-29",
        "last_updated": "2020-05-15",
        "certification_date": "2020-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0012007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Sterling, CO
• Providers in Sterling, CO by specialty
• Professional Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2020; 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.