Individual provider Active NPI

Josaphine Long, CADC

  • Addiction (Substance Use Disorder) Counselor
  • Webster City, IA
National Provider Identifier
1679350995
Registry record updated Feb 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
22019 Issued in IA
Practice address
500 Fair Meadow Dr
Webster City, IA 50595-3209
Phone
(515) 832-5432
NPI assigned
Sep 11, 2023
Last updated
Feb 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 22019 IA Primary

Addresses

Primary practice location

500 Fair Meadow Dr
Webster City, IA 50595-3209

Mailing address

500 Fair Meadow Dr
Webster City, IA 50595-3209
Phone (515) 832-5432

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Undefined Non-Physician Type (Specify)
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

211 Ave M W
Fort Dodge, IA 50501-5789

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22019IAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Fort Dodge Ywca Women's Halfway House Substance Abuse Rehabilitation Facility PastSince Sep 1, 2023 Accepting new patients
Community and Family Resources Substance Abuse Rehabilitation Facility Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1694390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1679350995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 FAIR MEADOW DR",
            "city": "WEBSTER CITY",
            "state": "IA",
            "postal_code": "505953209",
            "telephone_number": "515-832-5432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 FAIR MEADOW DR",
            "city": "WEBSTER CITY",
            "state": "IA",
            "postal_code": "505953209",
            "telephone_number": "515-832-5432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "JOSAPHINE",
        "credential": "CADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-11",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IA",
            "license": "22019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster City, IA

Sources for this page

Verify at the official NPI Registry.