Active NPI
Kenneth C Long, PASTORAL COUNSELOR
- Pastoral Counselor
- Richland, WA
National Provider Identifier
1609641877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pastoral Counselor
- Practice address
- 1124 Stevens Dr
Richland, WA 99354-3360 - Phone
- (509) 946-1430
- Fax
- (509) 946-1430
- NPI assigned
- Nov 17, 2023
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pastoral Counselor | 101YP1600X | Primary |
Addresses
Primary practice location
1124 Stevens Dr
Richland, WA 99354-3360
Mailing address
PO Box 1428
Richland, WA 99352-1428
Phone (509) 946-1430
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Emmaus Center | Pastoral | Current | Accepting new patients |
Locations
1124 Stevens Dr
Richland, WA 99354
Phone (509) 876-4009
Organizations & group practices 1
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": "1700179200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700179200000",
"number": "1609641877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1428",
"city": "RICHLAND",
"state": "WA",
"postal_code": "993521428",
"telephone_number": "509-946-1430",
"fax_number": "509-946-1432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1124 STEVENS DR",
"city": "RICHLAND",
"state": "WA",
"postal_code": "993543360",
"telephone_number": "509-946-1430",
"fax_number": "509-946-1430"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LONG",
"first_name": "KENNETH",
"middle_name": "C",
"credential": "PASTORAL COUNSELOR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-11-17",
"last_updated": "2023-11-17",
"certification_date": "2023-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YP1600X",
"taxonomy_group": "",
"desc": "Counselor, Pastoral",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.