Kira Ann Longoria, MS ED, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2021011819 Issued in MO

Practice address

704 Historic 66 W
Waynesville, MO 65583-2136

Phone

(833) 338-4673

NPI assigned

Oct 6, 2008

Last updated

Nov 21, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• A W Stevenson LLC

  dba Ellie Mental Health

  • Professional Counselor
  • Saint Charles, MO
  • NPI 1396469060
  NPD

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

{
    "created_epoch": "1223251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700524800000",
    "number": "1982855235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 HISTORIC 66 W",
            "city": "WAYNESVILLE",
            "state": "MO",
            "postal_code": "655832136",
            "telephone_number": "833-338-4673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 HISTORIC 66 W",
            "city": "WAYNESVILLE",
            "state": "MO",
            "postal_code": "655832136",
            "telephone_number": "833-338-4673"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 N 5th St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Saint Charles",
            "state": "MO",
            "postal_code": "633011808",
            "country_code": "US",
            "telephone_number": "636-238-2615",
            "fax_number": "636-201-3379",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1310 Hrc Plaza Dr",
            "address_purpose": "LOCATION",
            "city": "Lake St Louis",
            "state": "MO",
            "postal_code": "633671869",
            "country_code": "US",
            "telephone_number": "636-339-4475",
            "fax_number": "636-201-3379",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LONGORIA",
        "first_name": "KIRA",
        "middle_name": "ANN",
        "credential": "MS ED, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-06",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2021011819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Lawhon, OTR/L
• Aly Jean Leblanc-Malloy, OTR/L
• Jason Leinbaugh, LPC
• Linda D Fritchey (Christian Counseling Services)
• Brittany Lindsay
• Michelle Marie Love
• Paul W. Lowe, PA-C
• Ma. Teresa Sison Enciso PT. PC. Corp (Therapy Partners)
• Susan Armstrong Marino, LPC
• Shannon L Martin, LPC LIC # 2018028478

• Professional Counselor in Waynesville, MO
• Providers in Waynesville, MO by specialty
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.