Active NPI
Daniel Clayton Long, LPC
- Professional Counselor
- Columbia, SC
National Provider Identifier
1720406358
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 7680
- Practice address
- 220 Faison Dr
Columbia, SC 29203-3210 - Phone
- (803) 935-6609
- NPI assigned
- Apr 1, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Professional Counselor | 101YP2500X | 7680 | SC | Primary |
Addresses
Primary practice location
220 Faison Dr
Columbia, SC 29203-3210
Mailing address
248 Riglaw Cir
Lexington, SC 29073-6937
Phone (803) 386-7318
Other practice location 1
719 S Lake Dr
Lexington, SC 29072
Phone (180) 338-6731
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
| License | State | Type | Specialty |
|---|---|---|---|
| 7680 | SC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646352000000",
"number": "1720406358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "248 RIGLAW CIR",
"city": "LEXINGTON",
"state": "SC",
"postal_code": "290736937",
"telephone_number": "803-386-7318",
"fax_number": "803-756-3022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 FAISON DR",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292033210",
"telephone_number": "803-935-6609"
}
],
"practiceLocations": [
{
"address_1": "719 S Lake Dr",
"address_purpose": "LOCATION",
"city": "Lexington",
"state": "SC",
"postal_code": "29072",
"country_code": "US",
"telephone_number": "180-338-6731",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LONG",
"first_name": "DANIEL",
"middle_name": "CLAYTON",
"name_prefix": "Mr.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-04-01",
"last_updated": "2022-03-04",
"certification_date": "2022-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "SC",
"license": "7680",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.