| James Longo, LPC | |
|
365 Montauk Avenue, New London, CT 06320 | |
| (860) 442-0711 | |
| (860) 444-4767 |
| Full Name | James Longo |
|---|---|
| Gender | Male |
| Speciality | Mental Health Counselor |
| Experience | 43 Years |
| Location | 365 Montauk Avenue, New London, Connecticut |
| 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 |
|---|---|---|---|
| 1164644126 | NPI | - | NPPES |
| 4024972 | Medicaid | CT | |
| 4014679 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 000098 (Connecticut) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Connecticut Behavioral Health Assoc Pc | 4385532373 | 31 |
| Entity Name | Connecticut Behavioral Health Assoc Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629158126 PECOS PAC ID: 4385532373 Enrollment ID: O20040310000567 |
| Mailing Address | Practice Location Address |
|---|---|
| James Longo, LPC 365 Montauk Avenue, New London, CT 06320 Ph: (860) 442-0711 | James Longo, LPC 365 Montauk Avenue, New London, CT 06320 Ph: (860) 442-0711 |
Nichole Burns, Counselor Medicare: Not Enrolled in Medicare Practice Location: 21 Montauk Avene, New London, CT 06320 Phone: 860-271-4715 Fax: 860-271-4797 | |
Theresa M. Bonanomi, Counselor Medicare: Not Enrolled in Medicare Practice Location: 365 Montauk Ave, New London, CT 06320 Phone: 860-444-5141 | |
Stephanie Bacon, Counselor Medicare: Not Enrolled in Medicare Practice Location: Po Box 120, New London, CT 06320 Phone: 860-437-4550 | |
Bethany Gallant, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 21 Montauk Ave, New London, CT 06320 Phone: 860-443-0530 Fax: 860-443-0536 | |
Lindsay Warner, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 7 Vauxhall St, New London, CT 06320 Phone: 860-437-4550 Fax: 860-661-4262 | |
Marie Salvemini, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1 Shaws Cv, New London, CT 06320 Phone: 860-447-8304 Fax: 860-443-8720 | |
Katherine Cichon, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 300 State St, Suite 307, New London, CT 06320 Phone: 860-941-9380 |