Individual provider Active NPI

Elizabeth Nieto Long, LMFT

  • Marriage & Family Therapist
  • Arroyo Grande, CA
National Provider Identifier
1679709166
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
53572 Issued in CA
Practice address
512 Paulding Cir
Arroyo Grande, CA 93420-2857
Phone
(805) 556-5532
NPI assigned
Jun 10, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 53572 CA Primary

Addresses

Primary practice location

512 Paulding Cir
Arroyo Grande, CA 93420-2857

Mailing address

512 Paulding Cir
Arroyo Grande, CA 93420-2857
Phone (805) 556-5532

Other names 1

  • Elizabeth Ann Nieto Former 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
53572CAMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Peace and Purpose Marriage and Family Therapy, Professional Corporation Marriage & Family Therapist CurrentSince Jan 26, 2025 Accepting new patients
Transitions Mental Health Association Past Accepting new patients
Good Samaritan Shelter PastSince Feb 1, 2025 Accepting new patients

Locations

512 Paulding Cir
Arroyo Grande, CA 93420
Phone (805) 556-5532

Organizations & group practices 3

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": "1244592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737504000000",
    "number": "1679709166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 PAULDING CIR",
            "city": "ARROYO GRANDE",
            "state": "CA",
            "postal_code": "934202857",
            "telephone_number": "805-556-5532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 PAULDING CIR",
            "city": "ARROYO GRANDE",
            "state": "CA",
            "postal_code": "934202857",
            "telephone_number": "805-556-5532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "ELIZABETH",
        "middle_name": "NIETO",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-10",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "53572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "NIETO",
            "middle_name": "ANN",
            "credential": "LMFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Arroyo Grande, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; 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.