Individual provider Active NPI

Nina Long, MS, CAP, ICADC

  • Addiction (Substance Use Disorder) Counselor
  • Jupiter, FL
National Provider Identifier
1851665129
Registry record updated Mar 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
4418 Issued in FL
Practice address
214 Seabreeze Cir
Jupiter, FL 33477-6421
Phone
(561) 847-0220
NPI assigned
Mar 3, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 4418 FL Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 120999 FL

Addresses

Primary practice location

214 Seabreeze Cir
Jupiter, FL 33477-6421

Mailing address

214 Seabreeze Cir
Jupiter, FL 33477-6421
Phone (561) 847-0220

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
120999FLMDAddiction (Substance Use Disorder) Counselor
4418FLMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1330732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330732800000",
    "number": "1851665129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 SEABREEZE CIR",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334776421",
            "telephone_number": "561-847-0220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 SEABREEZE CIR",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334776421",
            "telephone_number": "561-847-0220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "NINA",
        "credential": "MS, CAP, ICADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-03",
        "last_updated": "2012-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "4418",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "120999",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2012; 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.