Alexis R. Longo, LAC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

70 Park St Ste 104
Montclair, NJ 07042-2960

Phone

(862) 234-5029

NPI assigned

Oct 6, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ali Longo Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1665014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665014400000",
    "number": "1689399107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 PARK ST STE 104",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070422960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 PARK ST STE 104",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070422960",
            "telephone_number": "862-234-5029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONGO",
        "first_name": "ALEXIS",
        "middle_name": "R.",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-06",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALI",
            "last_name": "LONGO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kristen R Lobman, M.A., CCC-SLP
• Toni Anne Lofrano
• Linda Logang, NP
• Logical Relations Therapy LLC
• Jessyka Lynn Lombana
• Lopa M Patel, LLC
• Gabriella Lopardo
• Mirta Lopez, LCSW
• Natasha S Lopez, APN
• Samuel Lopez, D.M.D.

• Mental Health Counselor in Montclair, NJ
• Providers in Montclair, NJ by specialty
• Mental Health Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2022; 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.