Gerard William Long, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC29128 Issued in CA

Practice address

29632 Hwy 299E
Round Mountain, CA 96084

Phone

(530) 337-6243

NPI assigned

Nov 16, 2020

Last updated

Nov 16, 2020By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Hill Country Community Clinic

  • Federally Qualified Health Center (FQHC)
  • Round Mountain, CA
  • NPI 1407914260
  Medicare reassignment NPD
• Hill Country Community Clinic

  • Federally Qualified Health Center (FQHC)
  • Redding, CA
  • NPI 1568338218
  NPD
• Hill Country Community Clinic

  • Federally Qualified Health Center (FQHC)
  • Redding, CA
  • NPI 1457844318
  NPD (past)

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

{
    "created_epoch": "1605484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605484800000",
    "number": "1598367369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27075 HOBART RD",
            "city": "SHINGLETOWN",
            "state": "CA",
            "postal_code": "960889641",
            "telephone_number": "530-941-0934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29632 HWY 299E",
            "city": "ROUND MOUNTAIN",
            "state": "CA",
            "postal_code": "96084",
            "telephone_number": "530-337-6243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "GERARD",
        "middle_name": "WILLIAM",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-16",
        "last_updated": "2020-11-16",
        "certification_date": "2020-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC29128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alicia Kaylin Hopper, RDH
• Kristi Michelle Hughes
• Darra A. Husome, FNP, CNS
• Natalie Jacobs
• Joshua Lee Kincannon
• Mikhaelii Maplesden, RDH
• Lester Diaz Martinez, DDS
• Christopher David Nelson, D.D.S.
• Hannah McKenzie Pearson, RDH
• Jaclyn Romo, ACSW

• Marriage & Family Therapist in Round Mountain, CA
• Providers in Round Mountain, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.