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EMILY ROSE LONG LAC
NPI 1194593905
Counselor - Addiction (Substance Use Disorder) in Frisco, CO

Active since December 12, 2023PECOS Enrolled
360 PEAK ONE DR, FRISCO, CO 80443(970) 485-6676 Get Directions Write a Review

NPPES record last updated: June 12, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 12, 2025, Dec 12, 2023 (2 updates tracked since 2023).

About Emily Rose Long Lac NPPES

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

EMILY ROSE LONG LAC (NPI 1194593905) is an individual addiction (substance use disorder) provider in Frisco, Colorado, licensed in Colorado (ACD.0002648) and active in the NPI registry since December 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1194593905
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameEMILY ROSE LONGCredential: LAC
Location Address360 PEAK ONE DRFrisco, CO 80443-5948
Mailing AddressPo Box 2722Frisco, CO 80443-2722 · (720) 486-5553
Phone(970) 485-6676
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateDecember 12, 2023
Last NPPES UpdateJune 12, 20252 updates tracked since enumeration
NPPES CertifiedJune 12, 2025
✔ NPI 1194593905 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in CO · ACD.0002648
360 PEAK ONE DR, Frisco, CO 80443
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Emily Rose Long Lac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2769977255
PECOS Enrollment IDI20251222002909
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 Emily Long reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mile High Council On Alcoholism And Drug Abuse
Same address
Community/Behavioral Health
360 PEAK ONE DR STE 110D
Frisco, CO 80443
  • Reassigned Medicare billing, Colorado enrollment
  • 21 clinicians in this Medicare group
NPI 1174407514 (303) 825-8113

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.

LAUREL WINN-ARNDT
Community Health Worker
360 PEAK ONE DR, STE 110
FRISCO, CO 80443
Summit County (970) 668-3478
RECOVERY RESOURCES
Clinic/Center (Rehabilitation, Substance Use Disorder)
360 PEAK ONE DR
FRISCO, CO 80443
Summit County (970) 368-6502
DR. MARY MARGARET CIAMBELLI PH.D., PMHCNS-BC
Nurse Practitioner (Psychiatric/Mental Health)
360 PEAK ONE DR
FRISCO, CO 80443
Summit County (970) 668-3478
RANDY JO PACHECO BA
Counselor (Addiction (Substance Use Disorder))
360 PEAK ONE DR, STE 110
FRISCO, CO 80443
Summit County (970) 668-3478
RECOVERY RESOURCES
Clinic/Center (Rehabilitation, Substance Use Disorder)
360 PEAK ONE DR
FRISCO, CO 80443
Summit County (970) 368-6502
MRS. MARY ANN LOOBY LSW
Social Worker
360 PEAK ONE DR, STE 110
FRISCO, CO 80443
Summit County (970) 668-3478
MADISON ELISE CHAMPALOU
Case Manager/Care Coordinator
360 PEAK ONE DR
FRISCO, CO 80443
Summit County (720) 297-2831
CHARLES T MACDONALD APN
Nurse Practitioner (Psychiatric/Mental Health)
360 PEAK ONE DR, STE 110
FRISCO, CO 80443
Summit County (970) 668-3478

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 Emily Long's NPI number?

The NPI number for Emily Long is 1194593905. It was assigned to this individual provider in the NPPES registry on December 12, 2023.

Where is Emily Long located?

Emily Long practices at 360 Peak One Dr, Frisco, CO 80443. The listed phone number is (970) 485-6676.

What is Emily Long's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Emily Long enrolled in Medicare?

Yes. Emily Long is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Emily Long's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Emily Long reassigns Medicare benefits to Mile High Council On Alcoholism And Drug Abuse (Frisco, CO). 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 Emily Long's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Emily Long was last updated on June 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.