Individual provider Active NPI

Gregory Longmore, LMHC

  • Mental Health Counselor
  • Brooklyn, NY
National Provider Identifier
1720590110
Registry record updated Mar 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
007621 Issued in NY
Practice address
1567 E 56TH St FL 2
Brooklyn, NY 11234-4001
Phone
(929) 465-6383
Fax
(718) 676-0695
NPI assigned
Oct 25, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 007621 NY Primary

Addresses

Primary practice location

1567 E 56TH St FL 2
Brooklyn, NY 11234-4001

Mailing address

1567 E 56TH St FL 2
Brooklyn, NY 11234-4001
Phone (929) 465-6383

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240806000031 NY Practitioner - Mental Health Counselor 0648717892 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007621NYMDCorneal and Contact Management Optometrist

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1508889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646179200000",
    "number": "1720590110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1567 E 56TH ST FL 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112344001",
            "telephone_number": "929-465-6383",
            "fax_number": "718-676-0695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1567 E 56TH ST FL 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112344001",
            "telephone_number": "929-465-6383",
            "fax_number": "718-676-0695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONGMORE",
        "first_name": "GREGORY",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-25",
        "last_updated": "2022-03-02",
        "certification_date": "2022-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "007621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.