Charles Anthony Long, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC33504 Issued in CA

Practice address

5480 Baltimore Dr
Suite 202
La Mesa, CA 91942

Phone

(619) 462-0199

Fax

(619) 464-7772

NPI assigned

Nov 2, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Charles a. Long, a Professional Marriage and Family Therapy Corporatio

  • Community/Behavioral Health Agency
  • La Mesa, CA
  • NPI 1144662131
  NPD
• Gary D Hittle PHD

  • Marriage & Family Therapist
  • La Mesa, CA
  • NPI 1679655369
  NPD (past)

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732492800000",
    "number": "1740271337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5480 BALTIMORE DR",
            "address_2": "SUITE 202",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "91942",
            "telephone_number": "619-462-0199",
            "fax_number": "619-464-7772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5480 BALTIMORE DR",
            "address_2": "SUITE 202",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "91942",
            "telephone_number": "619-462-0199",
            "fax_number": "619-464-7772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "CHARLES",
        "middle_name": "ANTHONY",
        "name_prefix": "Mr.",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-02",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "33504",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC33504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Llanes
• Linda Lobbestael, NP
• Lane May Lockwood
• Michelle Loftus, CCC-SLP
• Liliana Lomeli, LMFT
• Phyllis Catherine Vokey Long, MFT
• Longs Drug Stores California LLC (CVS Pharmacy #09169)
• Longs Drug Stores California LLC (CVS Pharmacy #09162)
• Kelly Anne Loomis, OTR/L
• Aisha Lope de Haro-Salleh

• Marriage & Family Therapist in La Mesa, CA
• Providers in La Mesa, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2024; 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.