Genna Lauren Long, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

30508 Issued in SC

Practice address

1180 Stonecrest Blvd Ste 101
Tega Cay, SC 29708-6638

Phone

(803) 372-8585

Fax

(800) 598-6601

NPI assigned

Jun 17, 2025

Sex

Female

Sole proprietor

No

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

Interoperability endpoints

• Direct secure messaging: genna.long.1@31694.direct.athenahealth.com

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.

• Integrity Behavioral Health LLC

  • Psychiatry Physician
  • Fort Mill, SC
  • NPI 1013420504
  NPD (past)

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

{
    "created_epoch": "1750118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758844800000",
    "number": "1962398800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 STONECREST BLVD STE 101",
            "city": "TEGA CAY",
            "state": "SC",
            "postal_code": "297086638",
            "telephone_number": "803-372-8585",
            "fax_number": "800-598-6601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 STONECREST BLVD STE 101",
            "city": "TEGA CAY",
            "state": "SC",
            "postal_code": "297086638",
            "telephone_number": "803-372-8585",
            "fax_number": "800-598-6601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "GENNA",
        "middle_name": "LAUREN",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-17",
        "last_updated": "2025-09-26",
        "certification_date": "2025-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "SC",
            "license": "30508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Drashti Jani, NP
• Lindsey Anne Johnson
• Morgan Leigh Lavender
• Cynthia Leone, PT
• Cherilyn Livingston
• Jodie Roberta Lowry
• Maria Wilson, PT, LLC
• Kendra Martin
• Paul G Martino
• Ann Marie May, M.ED.,CCC-SLP

• All providers in Tega Cay, SC
• Psychiatric/Mental Health Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2025; 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.