Individual provider Active NPI

Erica Lasha Long, MSN, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1548097934
Registry record updated Jan 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95033395 Issued in CA
Practice address
4646 Poplar Ave Ste 320
Memphis, TN 38117-4433
Phone
(901) 410-9205
Fax
(901) 231-6268
NPI assigned
Sep 18, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 37751 TN
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95033395 CA Primary
Registered Nurse 163W00000X 192673 TN
Registered Nurse 163W00000X 95379140 CA

Addresses

Primary practice location

4646 Poplar Ave Ste 320
Memphis, TN 38117-4433

Mailing address

4646 Poplar Ave Ste 320
Memphis, TN 38117-4433
Phone (901) 410-9205

Other practice location 1

95 3rd St
San Francisco, CA 94103-3103
Phone (901) 410-9205

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250310002375 CA Practitioner - Nurse Practitioner 6709307507 Reassigns benefits to 1 organization
I20260526000836 TN Practitioner - Nurse Practitioner 6709307507 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Telos Health Systems TN PLLCGroup PAC ID 4486131729, 6 clinicians

Practice addresses (Care Compare)

1902 Wright PL
FL 2
Carlsbad, CA 92008-6583
Phone (888) 515-3834

1992 Hwy 51 S
Covington, TN 38019-3623
Phone (201) 617-6777

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95379140CAMDRegistered Nurse
192673TNMDRegistered Nurse
95033395CAMDPsychiatric/Mental Health Nurse Practitioner
37751TNMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Memory Check Psychological Services, a Professional Corporation Psychiatric/Mental Health CurrentSince Feb 15, 2025 Accepting new patients

Locations

1902 Wright Pl
Fl 2
Carlsbad, CA 92008
Phone (929) 468-2465

5838 Edison Pl
Ste 100
Carlsbad, CA 92008
Phone (760) 300-3664

348 Iris Dr
Salinas, CA 93906
Phone (831) 449-5496

7447 Sepulveda Blvd
Van Nuys, CA 91405
Phone (818) 787-3400

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1726617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769731200000",
    "number": "1548097934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4646 POPLAR AVE STE 320",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381174433",
            "telephone_number": "901-410-9205",
            "fax_number": "901-231-6268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4646 POPLAR AVE STE 320",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381174433",
            "telephone_number": "901-410-9205",
            "fax_number": "901-231-6268"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "95 3rd St",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941033103",
            "country_code": "US",
            "telephone_number": "901-410-9205",
            "fax_number": "901-231-6268",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LONG",
        "first_name": "ERICA",
        "middle_name": "LASHA",
        "credential": "MSN, APRN, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-18",
        "last_updated": "2026-01-30",
        "certification_date": "2026-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "37751",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95033395",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "192673",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95379140",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.