Individual provider Active NPI

Douglas Longwill

  • Counselor
  • Altoona, PA
National Provider Identifier
1689168601
Registry record updated Jun 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
400 Lakemont Park Blvd
Altoona, PA 16602-5967
Phone
(814) 946-0261
NPI assigned
Jun 22, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

400 Lakemont Park Blvd
Altoona, PA 16602-5967

Mailing address

514 E Penn Ave
Altoona, PA 16601-3750

Other practice location 1

400 Lakemont Park Blvd
Altoona, PA 16602-5967
Phone (814) 946-0261

Other practice location 2

400 Lakemont Park Blvd
Altoona, PA 16602-5967
Phone (814) 946-0261

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

NPI Registry JSON

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

{
    "created_epoch": "1529625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529625600000",
    "number": "1689168601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 E PENN AVE",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166013750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 LAKEMONT PARK BLVD",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166025967",
            "telephone_number": "814-946-0261"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Lakemont Park Blvd",
            "address_purpose": "LOCATION",
            "city": "Altoona",
            "state": "PA",
            "postal_code": "166025967",
            "country_code": "US",
            "telephone_number": "814-946-0261",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 Lakemont Park Blvd",
            "address_purpose": "LOCATION",
            "city": "Altoona",
            "state": "PA",
            "postal_code": "166025967",
            "country_code": "US",
            "telephone_number": "814-946-0261",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LONGWILL",
        "first_name": "DOUGLAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-22",
        "last_updated": "2018-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altoona, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2018; 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.