Individual provider Active NPI

Jamey Leeanne Long-Rislin, MSW, LSW

  • Professional Counselor
  • Lansdowne, PA
National Provider Identifier
1629300066
Registry record updated Feb 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
SW125939 Issued in PA
Practice address
308 Owen Ave
Lansdowne, PA 19050-1032
Phone
(973) 930-1826
NPI assigned
Feb 10, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X SW125939 PA Primary
Social Worker 104100000X SW125939 PA

Addresses

Primary practice location

308 Owen Ave
Lansdowne, PA 19050-1032

Mailing address

308 Owen Ave
Lansdowne, PA 19050-1032

Other names 1

  • Mrs. Jamey Leeanne Rislin Other name

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
SW125939PAMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1265760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265760000000",
    "number": "1629300066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 OWEN AVE",
            "city": "LANSDOWNE",
            "state": "PA",
            "postal_code": "190501032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 OWEN AVE",
            "city": "LANSDOWNE",
            "state": "PA",
            "postal_code": "190501032",
            "telephone_number": "973-930-1826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG-RISLIN",
        "first_name": "JAMEY",
        "middle_name": "LEEANNE",
        "name_prefix": "Mrs.",
        "credential": "MSW, LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-10",
        "last_updated": "2010-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "SW125939",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW125939",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMEY",
            "last_name": "RISLIN",
            "middle_name": "LEEANNE",
            "prefix": "MRS.",
            "credential": "MSW, LSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lansdowne, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2010; 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.