Individual provider Active NPI

Lainee Delong

  • Addiction (Substance Use Disorder) Counselor
  • Ironton, OH
National Provider Identifier
1548937956
Registry record updated Aug 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
CDCA.177537 Issued in OH
Practice address
305 Park Ave
Ironton, OH 45638-1525
Phone
(740) 550-4991
NPI assigned
Aug 24, 2021
Last updated
Aug 24, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CDCA.177537 OH Primary

Addresses

Primary practice location

305 Park Ave
Ironton, OH 45638-1525

Mailing address

305 Park Ave
Ironton, OH 45638-1525
Phone (740) 550-4991

Other identifiers 1

IdentifierTypeStateIssuer
0378240MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Ironton Other Southern Hope Recovery Center LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CDCA.177537OHMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1629763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629763200000",
    "number": "1548937956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 PARK AVE",
            "city": "IRONTON",
            "state": "OH",
            "postal_code": "456381525",
            "telephone_number": "740-550-4991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 PARK AVE",
            "city": "IRONTON",
            "state": "OH",
            "postal_code": "456381525",
            "telephone_number": "740-550-4991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELONG",
        "first_name": "LAINEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-24",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "CDCA.177537",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0378240",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Ironton",
            "affiliation": "Y",
            "endpointDescription": "ironton",
            "affiliationName": "Southern Hope Recovery Center LLC",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Ironton",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Ironton",
            "address_1": "305 Park Ave",
            "city": "Ironton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "456381525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ironton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2021; 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.