| Jacob Long, MA | |
|
149 Gene Hill Rd, Mount Airy, NC 27030-9072 | |
| (336) 553-8147 | |
| Not Available |
| Full Name | Jacob Long |
|---|---|
| Gender | Male |
| Speciality | Mental Health Counselor |
| Experience | 12 Years |
| Location | 149 Gene Hill Rd, Mount Airy, North Carolina |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083335285 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 18420 (Virginia) | Secondary |
| 101YM0800X | Counselor - Mental Health | 0704005653 (Virginia) | Primary |
| Entity Name | Vitamind Counseling PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831895994 PECOS PAC ID: 3375033772 Enrollment ID: O20260323000135 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacob Long, MA 149 Gene Hill Rd, Mount Airy, NC 27030-9072 Ph: (336) 553-8147 | Jacob Long, MA 149 Gene Hill Rd, Mount Airy, NC 27030-9072 Ph: (336) 553-8147 |
Kristy L Silman, LMHC, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 270 Johnson Creek Rd, Mount Airy, NC 27030 Phone: 336-756-7026 |
Michelle J Bell, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 114 W Lebanon St, Mount Airy, NC 27030 Phone: 336-528-1859 |
Debra Allison Smeltzer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 847 W Lake Dr, Mount Airy, NC 27030 Phone: 704-939-1100 |
Ritchie D Puckett, LCAS-A Counselor Medicare: Accepting Medicare Assignments Practice Location: 847 W Lake Dr, Mount Airy, NC 27030 Phone: 336-783-6919 |
Stephanie Puckett, LPCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 414 W Lebanon St, Mount Airy, NC 27030 Phone: 336-789-9492 Fax: 336-789-9587 |
Amanda Fields Moncus, Counselor Medicare: Not Enrolled in Medicare Practice Location: 847 W Lake Dr, Mount Airy, NC 27030 Phone: 704-939-1100 |
Elizabeth Grace Sandoval, LCMHCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 131 W Lebanon St Ste C&e, Mount Airy, NC 27030 Phone: 336-716-0855 |