Keith Long, LPC, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC.0003080 Issued in CO

Legal business name

KEITH LONG, LPC, LLC

Practice address

2323 S Troy St
BLDG. 3, Suite 108
Aurora, CO 80014-1946

Phone

(303) 750-5435

Fax

(303) 750-5435

NPI assigned

Sep 2, 2016

Organization subpart

No

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

Authorized official

Name

Keith David Long, LPC

Title

Licensed Professional Counselor

Phone

(303) 750-5435

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1472774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474416000000",
    "number": "1992252290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9085 E MISSISSIPPI AVE",
            "address_2": "APT N107",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802474009",
            "telephone_number": "303-750-5435",
            "fax_number": "303-750-5435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 S TROY ST",
            "address_2": "BLDG. 3, SUITE 108",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800141946",
            "telephone_number": "303-750-5435",
            "fax_number": "303-750-5435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEITH LONG, LPC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-02",
        "last_updated": "2016-09-21",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "303-750-5435",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "LPC.0003080",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID INDIVIDUAL NPI",
            "identifier": "1942327895",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Getu Kefelegn
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• Daniel Jeffrey Keim, DPT
• Johnathan Jacob Keisel
• Julie G Keishian
• Keke Center LLC
• Robert Howard Kelder Jr., DC
• Chantel Kell, RBT
• Teriann Kell, LCSW
• Jessalyn Rose Kelleher, PSYD

• Mental Health Counselor in Aurora, CO
• Providers in Aurora, CO by specialty
• Mental Health Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2016; 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.