Mrs Kristen L Long, LPC, CACII in Lake Havasu City, AZ

Mrs Kristen L Long, LPC, CACII is a medicare enrolled "Counselor - Mental Health" provider in Lake Havasu City, Arizona. Her current practice location is 84 Acoma Blvd N Ste 104, Lake Havasu City, Arizona. You can reach out to her office (for appointments etc.) via phone at (928) 733-5101.

Mrs Kristen L Long is licensed to practice in Arizona (license number LPC-16476) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1275808883.

Contact Information

	Mrs Kristen L Long, LPC, CACII
	84 Acoma Blvd N Ste 104, Lake Havasu City, AZ 86403-6096
	(928) 733-5101
	(970) 249-2955

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Kristen L Long
Gender	Female
Speciality	Counselor - Mental Health
Location	84 Acoma Blvd N Ste 104, Lake Havasu City, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1275808883
Provider Enumeration Date: 03/14/2012
Last Update Date: 12/12/2022

Medicare PECOS Information:

PECOS PAC ID: 7911341466
Enrollment ID: I20240222004332

Medical Identifiers

Medical identifiers for Mrs Kristen L Long such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275808883	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	LPC-16476 (Arizona)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Kristen L Long allows following entities to bill medicare on her behalf.

Entity Name	Arizona Recovery Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699238279 PECOS PAC ID: 6305172917 Enrollment ID: O20190719000654

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Kristen L Long is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mrs Kristen L Long, LPC, CACII 84 Acoma Blvd N Ste 104, Lake Havasu City, AZ 86403-6096 Ph: (928) 733-5101	Mrs Kristen L Long, LPC, CACII 84 Acoma Blvd N Ste 104, Lake Havasu City, AZ 86403-6096 Ph: (928) 733-5101

Reviews and Comments

Counselor in Lake Havasu City, AZ

Maria Rawson, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3250 Saratoga Ave, Lake Havasu City, AZ 86406 Phone: 602-767-3441
Miss Susan Lynn Martin, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2277 Swanson Ave., Suite B, Lake Havasu City, AZ 86403 Phone: 928-854-0110 Fax: 928-854-0112
Molly Port, LPC Counselor Medicare: Medicare Enrolled Practice Location: 1930 Mesquite Ave, Suite # 1a, Lake Havasu City, AZ 86403 Phone: 928-855-4900 Fax: 928-855-4902
Alyssa F Horton, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 2550 Kiowa Blvd N Ste 200, Lake Havasu City, AZ 86403 Phone: 928-733-5133
Miss Kandis A Silvestri, MSED, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2277 Swanson Ave, Ste B, Lake Havasu City, AZ 86403 Phone: 928-854-0110 Fax: 928-854-0112
Gwen L Hodrick, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 660 Acoma Blvd N, Lake Havasu City, AZ 86403 Phone: 214-702-6775 Fax: 214-614-4725
Rakel Connell, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 276 Lake Havasu Ave S Apt B28, Lake Havasu City, AZ 86403 Phone: 928-566-4637

Mrs Kristen L Long, LPC, CACII - Medicare Counselor in Lake Havasu City, AZ