Renee Joy Long, LBP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

320 Issued in OK

Practice address

1317 Swan Lake Rd
Edmond, OK 73003-4818

Phone

(405) 514-1385

Fax

(405) 530-3273

NPI assigned

Apr 24, 2007

Last updated

Apr 1, 2010By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Integrated Therapy Solutions of Oklahoma, LLC

  • Community/Behavioral Health Agency
  • Moore, OK
  • NPI 1659855278
  NPD (past)

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270080000000",
    "number": "1528287356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1317 SWAN LAKE RD",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730034818",
            "telephone_number": "405-514-1385",
            "fax_number": "405-530-3273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1317 SWAN LAKE RD",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730034818",
            "telephone_number": "405-514-1385",
            "fax_number": "405-530-3273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "RENEE",
        "middle_name": "JOY",
        "name_prefix": "Mrs.",
        "credential": "LBP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-24",
        "last_updated": "2010-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Logan Hospital and Medical Center Authority (Center for Internal Medicine and Pediatrics - Waterloo)
• Brooke Logan
• Drew London
• Caroline Long
• Erica Long
• Robert Long, DPT
• Ronnie Long
• Terry J Long Jr.
• Dillon Reid Longbrake, ATHLETIC TRAINER
• Looking Inward PLLC

• Mental Health Counselor in Edmond, OK
• Providers in Edmond, OK by specialty
• Mental Health Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2010; 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.