Individual provider Active NPI

Thomas C Long, M.S., L.P.C.

  • Professional Counselor
  • Fort Smith, AR
National Provider Identifier
1992968838
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
P0911071 Issued in AR
Practice address
7217 Cameron Park Dr
Fort Smith, AR 72903-6167
Phone
(479) 831-6007
Fax
(479) 782-1242
NPI assigned
Jul 9, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

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 P0911071 AR Primary

Addresses

Primary practice location

7217 Cameron Park Dr
Fort Smith, AR 72903-6167

Mailing address

827 Harrell St
Alma, AR 72921-8333
Phone (479) 387-4218

Other practice location 1

827 Harrell St
Alma, AR 72921
Phone (479) 387-4218

Other names 1

  • T.C. Long Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231201001192 AR Practitioner - Mental Health Counselor 7315395316 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2001
Medicare assignment
May accept Medicare assignment
Group practices
Center for Psychiatric Wellness, PLLCGroup PAC ID 8527373232, 11 clinicians

Practice addresses (Care Compare)

7217 Cameron Park Dr
Fort Smith, AR 72903-6167
Phone (479) 831-6007

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Psychiatric Wellness, PLLC. CurrentSince Jan 1, 2024 Accepting new patients

Locations

7217 Cameron Park Dr
Fort Smith, AR 72903
Phone (479) 434-3544

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": "1215561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739923200000",
    "number": "1992968838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "827 HARRELL ST",
            "city": "ALMA",
            "state": "AR",
            "postal_code": "729218333",
            "telephone_number": "479-387-4218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7217 CAMERON PARK DR",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729036167",
            "telephone_number": "479-831-6007",
            "fax_number": "479-782-1242"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "827 Harrell St",
            "address_purpose": "LOCATION",
            "city": "Alma",
            "state": "AR",
            "postal_code": "72921",
            "country_code": "US",
            "telephone_number": "479-387-4218",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LONG",
        "first_name": "THOMAS",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "M.S., L.P.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-09",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "P0911071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "T.C.",
            "last_name": "LONG",
            "credential": "M.S., L.P.C.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fort Smith, AR

Sources for this page

Verify at the official NPI Registry.