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JACOB LONG
NPI 1295138303
Counselor - Mental Health in Alton, IL

Active since October 02, 2014
2615 EDWARDS ST, ALTON, IL 62002(618) 462-2331(618) 462-2504 Get Directions Write a Review

NPPES record last updated: October 2, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jacob Long NPPES

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

JACOB LONG (NPI 1295138303) is an individual mental health provider in Alton, Illinois and active in the NPI registry since October 2014.

NPPES Registry Identity

NPI1295138303
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJACOB LONG
Location Address2615 EDWARDS STAlton, IL 62002-3915
Mailing Address2615 Edwards StAlton, IL 62002-3915 · (618) 462-2331 · Fax (618) 462-2504
Phone(618) 462-2331
Fax(618) 462-2504
Sole ProprietorNo
Enumeration DateOctober 2, 2014
✔ NPI 1295138303 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
2615 EDWARDS ST, Alton, IL 62002
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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.

ELISSHA LENHARDT
Counselor (Mental Health)
2615 EDWARDS ST
ALTON, IL 62002
Madison County (618) 462-2331
JENNIFER TAPEN
Counselor (Mental Health)
2615 EDWARDS ST
ALTON, IL 62002
Madison County (618) 462-2331
EMILY PEMBROOK
Counselor (Mental Health)
2615 EDWARDS ST
ALTON, IL 62002
Madison County (618) 462-2331
JOSHUA LUPARDUS
Counselor
2615 EDWARDS ST
ALTON, IL 62002
Madison County (618) 462-2331
LAUREN LUMPKINS
Counselor
2615 EDWARDS ST
ALTON, IL 62002
Madison County (618) 462-2331
KATIE HOLLAND
Counselor (Mental Health)
2615 EDWARDS ST
ALTON, IL 62002
Madison County (618) 462-2331
SUSAN BURRIS
Counselor
2615 EDWARDS ST
ALTON, IL 62002
Madison County (618) 462-2331
LAKYA HILL MS,LPC
Counselor (Professional)
2615 EDWARDS ST
ALTON, IL 62002
Madison County (618) 462-2331

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 1295138303. It was assigned to this individual provider in the NPPES registry on October 2, 2014.

Where is Jacob Long located?

Jacob Long practices at 2615 Edwards St, Alton, IL 62002. The listed phone number is (618) 462-2331.

What is Jacob Long's specialty?

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

When was this NPI record last updated?

The NPPES record for Jacob Long was last updated on October 2, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.