MS. WANDA KAYE LONG LCSW LIMHP NPI 1720134844

NPI Information

NPI: 1720134844
Provider Name: MS. WANDA KAYE LONG, LCSW, LIMHP
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

PECOS Registration: Yes

Address:
1811 W 2ND ST STE 450
GRAND ISLAND, NE
ZIP 68803
Phone: (308) 382-8085
Get Directions

MS. Wanda Kaye Long, LCSW, LIMHP is a mental health counselor in Grand Island, NE with 36 years of experience. MS. Wanda Kaye Long, LCSW, LIMHP NPI is 1720134844. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1811 W 2ND ST STE 450
GRAND ISLAND, NE
ZIP 68803-473
Phone: (308) 382-8085
Fax: (308) 382-8085

The NPI 1720134844 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

Group psychotherapy (HCPCS:90853)
Psychotherapy, 60 minutes with patient and/or family member (HCPCS:90837)

The enumeration date for this NPI number is 1/25/2007 and was last updated on 2/27/2020.

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
1	101YM0800X	Counselor	Mental Health	787	NEBRASKA	No
2	1041C0700X	Social Worker	Clinical	511	NEBRASKA	No
3	101YM0800X	Counselor	Mental Health	320,787	NEBRASKA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	100260989-00	MEDICAID	NEBRASKA
2	8582	OTHER		MIDLANDS CHOICE
3	47072149413	MEDICAID	NEBRASKA
4	82143	OTHER		BCBS

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: 11/14/2023

NPI Synchronization or Removal

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