Organization Active NPI

Dawn Lea Long Counseling LLC

  • Addiction (Substance Use Disorder) Counselor
  • Oklahoma City, OK
National Provider Identifier
1720564933
Registry record updated Jul 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
1213 Issued in OK
Legal business name
DAWN LEA LONG COUNSELING LLC
Practice address
5350 S Western Ave Ste 211
Oklahoma City, OK 73109-4525
Phone
(405) 863-2602
NPI assigned
Jul 11, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2018

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

Authorized official

Name
Ms. Dawn Lea Long, MHR LADC LBHP
Title
Owner/Operator/ Counselor
Phone
(405) 863-2602

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X 1213 OK Primary

Addresses

Primary practice location

5350 S Western Ave Ste 211
Oklahoma City, OK 73109-4525

Mailing address

5350 S Western Ave Ste 211
Oklahoma City, OK 73109-4525
Phone (405) 863-2602

Other identifiers 1

IdentifierTypeStateIssuer
200386090BMedicaidOK

National Provider Directory

National Provider Directory

Locations

5350 S Western Ave
Ste 211
Oklahoma City, OK 73109
Phone (405) 863-2602

NPI Registry JSON

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

{
    "created_epoch": "1531267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531267200000",
    "number": "1720564933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5350 S WESTERN AVE STE 211",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731094525",
            "telephone_number": "405-863-2602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5350 S WESTERN AVE STE 211",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731094525",
            "telephone_number": "405-863-2602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAWN LEA LONG COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-11",
        "last_updated": "2018-07-11",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "LEA",
        "authorized_official_title_or_position": "OWNER/OPERATOR/ COUNSELOR",
        "authorized_official_telephone_number": "405-863-2602",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MHR LADC LBHP"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OK",
            "license": "1213",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200386090B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.