Tatjana A Long, LMHC, LSAA, ATR-P

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CSA0195171 Issued in NM

Practice address

1264 Rodeo Rd
Santa Fe, NM 87505-6816

Phone

(505) 982-2129

NPI assigned

Jul 6, 2018

Last updated

Dec 29, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• New Mexico Treatment Services LLC

  • Community/Behavioral Health Agency
  • Santa Fe, NM
  • NPI 1265683049
  NPD (past)

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

{
    "created_epoch": "1530835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609200000000",
    "number": "1730675497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1264 RODEO RD",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875056816",
            "telephone_number": "505-982-2129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1264 RODEO RD",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875056816",
            "telephone_number": "505-982-2129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "TATJANA",
        "middle_name": "A",
        "credential": "LMHC, LSAA, ATR-P",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-06",
        "last_updated": "2020-12-29",
        "certification_date": "2020-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NM",
            "license": "CSA0195171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maureen Lomahaptewa
• Teelea Lombard
• Julia Lonergan
• Darby Long, LMFT
• Shelby Long
• William Lloyd Longhurst, M.D.
• Esther Lopez Juarez
• Lorena Lopez Vargas
• Andrew D Lopez
• Clea Lynn Lopez, MD

• Addiction (Substance Use Disorder) Counselor in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Addiction (Substance Use Disorder) Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2020; 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.