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JENNIFER NICOLE LONGORIA PH.D.
NPI 1154977577
Clinical Neuropsychologist in Charleston, SC

Active since August 12, 2019PECOS Enrolled
171 ASHLEY AVE, CHARLESTON, SC 29425(843) 792-1414 Get Directions Write a Review

NPPES record last updated: May 26, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 26, 2026, Aug 12, 2019 (2 updates tracked since 2019).

About Jennifer Nicole Longoria Ph.d. NPPES

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

JENNIFER NICOLE LONGORIA PH.D. (NPI 1154977577) is an individual clinical neuropsychologist in Charleston, South Carolina, licensed in South Carolina (1986) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154977577
Entity TypeIndividualFemale
Primary Taxonomy103G00000X
Provider Legal NameJENNIFER NICOLE LONGORIACredential: PH.D.
Location Address171 ASHLEY AVECharleston, SC 29425-0100
Mailing Address171 Ashley AveCharleston, SC 29425-0100 · (843) 792-1414
Phone(843) 792-1414
Sole ProprietorNo
Enumeration DateAugust 12, 2019
Last NPPES UpdateMay 26, 20262 updates tracked since enumeration
NPPES CertifiedMay 26, 2026
✔ NPI 1154977577 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
License✔ Licensed in SC · 1986
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
171 ASHLEY AVE, Charleston, SC 29425
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina, First Choice Next.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer Nicole Longoria Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Jennifer Longoria reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

St Jude Children's Research Hospital, Inc.
602 mi
Pediatrics
262 DANNY THOMAS PL
Memphis, TN 38105
  • Reassigned Medicare billing, Tennessee enrollment
  • Medicare enrollment name: St Jude Childrens Research Hospital Inc
  • 367 clinicians in this Medicare group
NPI 1306335088 (901) 595-3300

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

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

CAROLYN REED WORD M.D.
Allergy & Immunology
171 ASHLEY AVE
CHARLESTON, SC 29425
Charleston County (843) 792-1414
CHRISTOPHER ARNOLD HENSLEY CRNA
Nurse Anesthetist, Certified Registered
171 ASHLEY AVE
CHARLESTON, SC 29425
Charleston County (843) 792-1414
ANGELINA INDIRA PHILLIPS
Pathology (Anatomic Pathology)
171 ASHLEY AVE
CHARLESTON, SC 29425
Charleston County (843) 792-1414
BLAKE DANIEL FORCINA
Ophthalmology
171 ASHLEY AVE
CHARLESTON, SC 29425
Charleston County (843) 792-1414
CHELSEA LEE CRUISE SW
Social Worker
171 ASHLEY AVE
CHARLESTON, SC 29425
Charleston County (843) 792-1414
DR. RICHARD HAYDEN JONES MD
Radiology (Pediatric Radiology)
171 ASHLEY AVE
CHARLESTON, SC 29425
Charleston County (843) 792-1414
LINDSEY HENDRICKSON NP
Nurse Practitioner
171 ASHLEY AVE
CHARLESTON, SC 29425
Charleston County (843) 792-1414
MICHAEL DAMASO DE GUZMAN
Ophthalmology
171 ASHLEY AVE
CHARLESTON, SC 29425
Charleston County (843) 792-1414

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 Jennifer Longoria's NPI number?

The NPI number for Jennifer Longoria is 1154977577. It was assigned to this individual provider in the NPPES registry on August 12, 2019.

Where is Jennifer Longoria located?

Jennifer Longoria practices at 171 Ashley Ave, Charleston, SC 29425. The listed phone number is (843) 792-1414.

What is Jennifer Longoria's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is Jennifer Longoria enrolled in Medicare?

Yes. Jennifer Longoria is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jennifer Longoria's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Longoria reassigns Medicare benefits to St Jude Children's Research Hospital, Inc. (Memphis, TN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jennifer Longoria's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jennifer Longoria accept?

Health plans from BlueCross BlueShield of South Carolina and First Choice Next list Jennifer Longoria 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 Jennifer Longoria was last updated on May 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.