Katherine D Long, MS, LCMHC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

1030 North Rogers Lane
Ste 121, PMB 1035
Raleigh, NC 27610-4099

Phone

(844) 855-6650

NPI assigned

Mar 6, 2012

Last updated

Apr 23, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Katherine D Edwards Former name

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Finding Peace, PLLC

  • Mental Health Counselor
  • Raleigh, NC
  • NPI 1982295523
  NPD Authorized official
• Youth Extensions Inc.

  • Community/Behavioral Health Agency
  • Durham, NC
  • NPI 1336302611
  NPD (past)
• Third Space Therapy PLLC

  • Mental Health Counselor
  • Houston, TX
  • NPI 1215780234
  NPD (past)

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

{
    "created_epoch": "1330992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619136000000",
    "number": "1740554997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 NORTH ROGERS LANE",
            "address_2": "STE 121, PMB 1035",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276104099",
            "telephone_number": "844-855-6650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 NORTH ROGERS LANE",
            "address_2": "STE 121, PMB 1035",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276104099",
            "telephone_number": "844-855-6650"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "517 Deltona Blvd",
            "address_2": "Ste A",
            "address_purpose": "LOCATION",
            "city": "Deltona",
            "state": "FL",
            "postal_code": "327258016",
            "country_code": "US",
            "telephone_number": "813-728-4304",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2000 Yonkers Rd",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "27604",
            "country_code": "US",
            "telephone_number": "813-728-4304",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2000 Yonkers Rd",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "27604",
            "country_code": "US",
            "telephone_number": "813-728-4304",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1915 Chapel Hill Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "27707",
            "country_code": "US",
            "telephone_number": "919-246-5664",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LONG",
        "first_name": "KATHERINE",
        "middle_name": "D",
        "credential": "MS, LCMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-06",
        "last_updated": "2021-04-23",
        "certification_date": "2021-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.youthextensionsinc.com",
            "affiliation": "Y",
            "affiliationName": "Youth Extensions Inc.",
            "address_1": "1915 Chapel Hill Rd Ste A",
            "city": "Durham",
            "state": "NC",
            "country_code": "US",
            "postal_code": "277071177",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.findingpeacepllc.com",
            "affiliation": "N",
            "address_1": "1030 North Rogers Lane",
            "address_2": "Ste 121, PMB 1035",
            "city": "Raleigh",
            "state": "NC",
            "country_code": "US",
            "postal_code": "276104099",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "EDWARDS",
            "middle_name": "D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Long Acres Family Care Home#1
• Christopher Matthew Long, M.D./PH.D.
• Cindy Long, MS, RD, LDN, CDCES
• Jennifer Lynn Rochette Long, MD
• Jessica Long
• Kayla Danielle Long, PA-C
• Nicole Rose Long, APRN, AGNP-C
• Sharon Lynn Long, RPH
• Stacy Long
• Svati Singla Long, MD

• Professional Counselor in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2021; 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.