JACOB LONG MA
NPI 1083335285
Counselor - Mental Health in Mount Airy, NC

Active since September 06, 2022PECOS EnrolledAccepts Medicare Assignment
149 GENE HILL RD, MOUNT AIRY, NC 27030(336) 553-8147 Get Directions Write a Review

NPPES record last updated: April 24, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jacob Long Ma NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACOB LONG MA (NPI 1083335285) is an individual mental health provider in Mount Airy, North Carolina, licensed in Virginia (0704005653) and active in the NPI registry since September 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1083335285
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJACOB LONGCredential: MA
Location Address149 GENE HILL RDMount Airy, NC 27030-9072
Mailing Address149 Gene Hill RdMount Airy, NC 27030-9072 · (336) 553-8147 · Fax (336) 464-2376
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateSeptember 6, 2022
Last NPPES UpdateApril 24, 2023
NPPES CertifiedJanuary 31, 2023
NPI 1083335285 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in VA · 0704005653
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 18420 (VA)
149 GENE HILL RD, Mount Airy, NC 27030

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jacob Long Ma is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4082079686
PECOS Enrollment IDI20260226002822
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Peer Specialist
149 GENE HILL RD
MOUNT AIRY, NC 27030
Counselor (Mental Health)
149 GENE HILL RD
MOUNT AIRY, NC 27030

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacob Long's NPI number?

The NPI number for Jacob Long is 1083335285. It was assigned to this individual provider in the NPPES registry on September 6, 2022.

Where is Jacob Long located?

Jacob Long practices at 149 Gene Hill Rd, Mount Airy, NC 27030. The listed phone number is (336) 553-8147.

What is Jacob Long's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Jacob Long enrolled in Medicare?

Yes. Jacob Long is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jacob Long accept?

Health plans from Blue Cross and Blue Shield of NC, Oscar Health Maintenance Organization of Florida, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Jacob Long as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jacob Long was last updated on April 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.