JACOB LONG MA NPI 1083335285

NPI Information

  • NPI: 1083335285
  • Provider Name: JACOB LONG, MA
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 149 GENE HILL RD
    MOUNT AIRY, NC
    ZIP 27030
  • Phone: (336) 553-8147

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NPI Details

Jacob Long, MA is a mental health counselor in Mount Airy, NC. Jacob Long, MA NPI is 1083335285. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

149 GENE HILL RD
MOUNT AIRY, NC
ZIP 27030-072
Phone: (336) 553-8147

The enumeration date for this NPI number is 9/6/2022 and was last updated on 4/24/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YP2500XCounselorProfessional18420VIRGINIANo
2101YM0800XCounselorMental Health0704005653VIRGINIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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