Helen Long, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

5365 Issued in TN

Practice address

160 S Hollywood St
Shelby County Schools
Memphis, TN 38112-4801

Phone

(901) 416-5600

Fax

(901) 416-5697

NPI assigned

Sep 22, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Shelby County Board of Education

  • Local Education Agency (LEA)
  • Memphis, TN
  • NPI 1720496425
  NPD (past)

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

{
    "created_epoch": "1348272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446595200000",
    "number": "1649521279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1437 CENTRAL AVE",
            "address_2": "#316",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381044890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 S HOLLYWOOD ST",
            "address_2": "SHELBY COUNTY SCHOOLS",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381124801",
            "telephone_number": "901-416-5600",
            "fax_number": "901-416-5697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "HELEN",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-22",
        "last_updated": "2015-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MA",
            "license": "8977",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "RI",
            "license": "SP01205",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "5365",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q008425",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brian D Long, M.S.
• Christen N Long, B.S.
• Clifford Lee Long, BS
• Diane Long, MD
• Erica Lasha Long, MSN, APRN, PMHNP-BC
• Jody G Long, LCSW
• Leslie Long, APRN
• Russell K Long
• Thomas E Long, M.D.
• Vakendall V Long, LCSW

• Speech-Language Pathologist in Memphis, TN
• Providers in Memphis, TN by specialty
• Speech-Language Pathologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2015; 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.