Individual provider Active NPI

Phyllis Catherine Vokey Long, MFT

  • Marriage & Family Therapist
  • La Mesa, CA
National Provider Identifier
1841436623
Registry record updated Apr 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC43695 Issued in CA
Practice address
5575 Lake Park Way
Suite 100
La Mesa, CA 91942-1664
Phone
(619) 920-1240
NPI assigned
Dec 26, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC43695 CA Primary

Addresses

Primary practice location

5575 Lake Park Way
Suite 100
La Mesa, CA 91942-1664

Mailing address

5575 Lake Park Way Ste 106
La Mesa, CA 91942-1674
Phone (619) 920-1240

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jan 16, 2024 through Jan 16, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MFC43695CAMDMarriage & Family Therapist
43695CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
New Day Counseling Center, Inc. CurrentSince Apr 28, 2024 Accepting new patients
New Day Women'S Center, Inc. CurrentSince Apr 28, 2024 Accepting new patients

Locations

5575 Lake Park Way
Ste 106
La Mesa, CA 91942
Phone (619) 713-1544

Organizations & group practices 2

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": "1230249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713830400000",
    "number": "1841436623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5575 LAKE PARK WAY STE 106",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919421674",
            "telephone_number": "619-920-1240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5575 LAKE PARK WAY",
            "address_2": "SUITE 100",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919421664",
            "telephone_number": "619-920-1240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "PHYLLIS",
        "middle_name": "CATHERINE VOKEY",
        "name_prefix": "Ms.",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-26",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC43695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Mesa, CA

Sources for this page

Verify at the official NPI Registry.