Individual provider Active NPI

Leslie A Longo, PH.D., P.C.C.

  • Professional Counselor
  • Hermitage, PA
National Provider Identifier
1902956410
Registry record updated Jul 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E0500230 Issued in OH
Practice address
2201 E State St
Hermitage, PA 16148-2727
Phone
(724) 981-7141
Fax
(724) 981-7148
NPI assigned
Jan 10, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X E0500230 OH Primary

Addresses

Primary practice location

2201 E State St
Hermitage, PA 16148-2727

Mailing address

744 Gaylord Ave
Masury, OH 44438-9728
Phone (330) 448-1631

Other identifiers 2

IdentifierTypeStateIssuer
834979000OtherOHMAGELLAN INSURANCE
000000386571OtherOHANTHEM INSURANCE

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
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
E0500230OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Longo Counseling Services Professional Past Accepting new patients

Organizations & group practices 1

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": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216252800000",
    "number": "1902956410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "744 GAYLORD AVE",
            "city": "MASURY",
            "state": "OH",
            "postal_code": "444389728",
            "telephone_number": "330-448-1631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 E STATE ST",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "161482727",
            "telephone_number": "724-981-7141",
            "fax_number": "724-981-7148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONGO",
        "first_name": "LESLIE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PH.D., P.C.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-10",
        "last_updated": "2008-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E0500230",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN INSURANCE",
            "identifier": "834979000",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM INSURANCE",
            "identifier": "000000386571",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermitage, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2008; 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.