Active NPI
Dana Marie Longino, M.A., L.P.C.
- Professional Counselor
- Houston, TX
National Provider Identifier
1568529634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 18901
- Practice address
- 530 Wells Fargo Dr Ste 110
Houston, TX 77090-4026 - Phone
- (713) 569-1065
- NPI assigned
- Jan 1, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 18901 | TX | Primary |
Addresses
Primary practice location
530 Wells Fargo Dr Ste 110
Houston, TX 77090-4026
Mailing address
3730 Oak Lace Dr
Spring, TX 77389-5100
Phone (281) 355-1830
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 175518301 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Previously, effective Sep 15, 2024 through Sep 15, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18901 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1568529634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3730 OAK LACE DR",
"city": "SPRING",
"state": "TX",
"postal_code": "773895100",
"telephone_number": "281-355-1830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "530 WELLS FARGO DR STE 110",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770904026",
"telephone_number": "713-569-1065"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LONGINO",
"first_name": "DANA",
"middle_name": "MARIE",
"credential": "M.A., L.P.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-01",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "18901",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "175518301",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.