Michael A Long, MA, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

T1425 Issued in OR

Practice address

2955 N Hwy 97 # 206
Bend, OR 97703-7559

Phone

(541) 213-7755

Fax

(866) 497-3686

NPI assigned

Jan 22, 2016

Last updated

Jan 16, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Marriage and Family Therapist

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mosaic Community HealthGroup PAC ID 5395653497, 78 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

Practice roles

Locations

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.

• Mosaic Community Health

  dba Mosaic Medical

  • Federally Qualified Health Center (FQHC)
  • Prineville, OR
  • NPI 1083633184
  Medicare reassignment Care Compare group NPD
• Valhalla Mental Health Group, LLC

  • Marriage & Family Therapist
  • Bend, OR
  • NPI 1972297877

  Mental Health

  NPD Authorized official
• Mosaic Community Health

  dba Madras High School Based Health Center

  • Federally Qualified Health Center (FQHC)
  • Madras, OR
  • NPI 1023567815
  NPD (past)
• Mosaic Community Health

  dba Mosaic Medical

  • Federally Qualified Health Center (FQHC)
  • Bend, OR
  • NPI 1164820270
  NPD (past)
• Mosaic Community Health

  dba Mosaic Medical

  • Federally Qualified Health Center (FQHC)
  • Bend, OR
  • NPI 1275244345
  NPD (past)

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

{
    "created_epoch": "1453420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736985600000",
    "number": "1558728485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1322",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977091322",
            "telephone_number": "541-213-7755",
            "fax_number": "866-497-3686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2955 N HWY 97 # 206",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977037559",
            "telephone_number": "541-213-7755",
            "fax_number": "866-497-3686"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "390 SE 10th St",
            "address_purpose": "LOCATION",
            "city": "Madras",
            "state": "OR",
            "postal_code": "97741",
            "country_code": "US",
            "telephone_number": "541-213-2457",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "230 NE 6th St Rm S-19",
            "address_purpose": "LOCATION",
            "city": "Bend",
            "state": "OR",
            "postal_code": "977015103",
            "country_code": "US",
            "telephone_number": "541-383-3005",
            "fax_number": "541-383-1883",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "675 SW Rimrock Way",
            "address_purpose": "LOCATION",
            "city": "Redmond",
            "state": "OR",
            "postal_code": "977561931",
            "country_code": "US",
            "telephone_number": "541-383-3005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LONG",
        "first_name": "MICHAEL",
        "middle_name": "A",
        "credential": "MA, LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-01-22",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OR",
            "license": "T1425",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500698687",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cherie Long, M.D.
• Emily Claire Long, PA
• Joella Long
• John Long, CADC
• Laura Jane Long, LAURA LONG, RN
• Myrna Long
• Paul Robert Long, PAUL LONG M.D.
• Chelsea Longlet, D.D.S.
• Michael J Longlet, DDS
• Jeffrey Lee Longtain

• Marriage & Family Therapist in Bend, OR
• Providers in Bend, OR by specialty
• Marriage & Family Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.