TODD ANDREW LONG
NPI 1205201894
Counselor - Professional in Sallisaw, OK

Active since December 08, 2015PECOS EnrolledAccepts Medicare Assignment
301 S J T STITES ST, SALLISAW, OK 74955(918) 774-1413 Get Directions Write a Review

NPPES record last updated: May 7, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 7, 2025, May 22, 2023, Dec 8, 2015 (3 updates tracked since 2015).

About Todd Andrew Long NPPES

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

TODD ANDREW LONG (NPI 1205201894) is an individual professional provider in Sallisaw, Oklahoma, licensed in Oklahoma (11484) and active in the NPI registry since December 2015. He is enrolled in Medicare PECOS, is affiliated with Cherokee Nation W W Hastings Indian Hospital, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1205201894
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameTODD ANDREW LONG
Location Address301 S J T STITES STSallisaw, OK 74955-9302
Mailing Address301 S J T Stites StSallisaw, OK 74955-9302 · (918) 774-1413
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateDecember 8, 2015
Last NPPES UpdateMay 7, 20253 updates tracked since enumeration
NPPES CertifiedMay 7, 2025
NPI 1205201894 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in OK · 11484
301 S J T STITES ST, Sallisaw, OK 74955

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

Todd Andrew Long 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 ID7315460730
PECOS Enrollment IDI20250326003051
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Cherokee Nation W W Hastings Indian Hospital

Acute Care Hospitals · Tahlequah, OK
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number370171
Location100 S Bliss AvenueTahlequah, OK 74464 · Cherokee County
Emergency services Birthing friendly

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.

Dental Hygienist
301 S J T STITES ST
SALLISAW, OK 74955
Nurse Practitioner (Family)
301 S J T STITES ST
SALLISAW, OK 74955
Nurse Practitioner (Acute Care)
301 S J T STITES ST
SALLISAW, OK 74955
Counselor (Professional)
301 S J T STITES ST
SALLISAW, OK 74955
Registered Nurse
301 S J T STITES ST
SALLISAW, OK 74955
Physical Therapist
301 S J T STITES ST
SALLISAW, OK 74955
Social Worker (Clinical)
301 S J T STITES ST
SALLISAW, OK 74955
Optometrist
301 S J T STITES ST
SALLISAW, OK 74955

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 Todd Long's NPI number?

The NPI number for Todd Long is 1205201894. It was assigned to this individual provider in the NPPES registry on December 8, 2015.

Where is Todd Long located?

Todd Long practices at 301 S J T Stites St, Sallisaw, OK 74955. The listed phone number is (918) 774-1413.

What is Todd Long's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Todd Long enrolled in Medicare?

Yes. Todd 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.

Is Todd Long affiliated with any hospitals?

According to CMS data, Todd Long is affiliated with Cherokee Nation W W Hastings Indian Hospital.

When was this NPI record last updated?

The NPPES record for Todd Long was last updated on May 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.