Jennifer Long, ACHMCE

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

12727369-6010 Issued in UT

Practice address

291 N 300 E
American Fork, UT 84003-1883

Phone

(801) 318-4721

NPI assigned

Mar 24, 2023

Sex

Female

Sole proprietor

Yes

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

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.

• Summit View Counseling

  • Mental Health Counselor
  • American Fork, UT
  • NPI 1649050287
  NPD

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

{
    "created_epoch": "1679616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679616000000",
    "number": "1891498085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "291 N 300 E",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840031883",
            "telephone_number": "801-318-4721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "291 N 300 E",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840031883",
            "telephone_number": "801-318-4721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "JENNIFER",
        "credential": "ACHMCE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-24",
        "last_updated": "2023-03-24",
        "certification_date": "2023-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "12727369-6010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Logan
• Cambria Emily London
• Lone Peak Audiology and Hearing Services
• Lone Peak Surgery
• Lone Peak Therapeutic Massage
• Karen S Lonsdale, RN
• Stephen A Loper, PA-C
• Kyle Lowe
• Bruce R Lowry
• Cameron Dan Lowry, MD

• Mental Health Counselor in American Fork, UT
• Providers in American Fork, UT by specialty
• Mental Health Counselor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2023; 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.