Active NPI
Dawn Lea Long Counseling LLC
- Addiction (Substance Use Disorder) Counselor
- Oklahoma City, OK
National Provider Identifier
1720564933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 1213
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200386090B | Medicaid | OK |
National Provider Directory
National Provider DirectoryLocations
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.