KELLI ROS LONG PHD
NPI 1306578000
Psychologist in Greenville, NC

Active since June 30, 2022PECOS EnrolledAccepts Medicare Assignment
905 JOHNS HOPKINS DR, GREENVILLE, NC 27834(252) 744-1406(252) 744-2419 Get Directions Write a Review

NPPES record last updated: October 3, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 3, 2024, Aug 22, 2024 (2 updates tracked since 2024).

About Kelli Ros Long Phd NPPES

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

KELLI ROS LONG PHD (NPI 1306578000) is an individual psychologist in Greenville, North Carolina, licensed in North Carolina (6623) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1306578000
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameKELLI ROS LONGCredential: PHD
Location Address905 JOHNS HOPKINS DRGreenville, NC 27834-2056
Mailing Address905 Johns Hopkins DrGreenville, NC 27834-2056 · (252) 744-1406
Fax(252) 744-2419
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJune 30, 2022
Last NPPES UpdateOctober 3, 20242 updates tracked since enumeration
NPPES CertifiedOctober 3, 2024
✔ NPI 1306578000 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in NC · 6623
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Also ListedPsychologist · Health ServiceTaxonomy 103TH0100X · License 6623 (NC)
905 JOHNS HOPKINS DR, Greenville, NC 27834

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kelli Ros Long Phd 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 ID7810421989
PECOS Enrollment IDI20241112001971
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 Reassignments

2

Medicare enrollment records show Kelli Long reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Orthodontics and Dentofacial Orthopedics
1851 MACGREGOR DOWNS RD
Greenville, NC 27834
  • Reassigned Medicare billing, North Carolina enrollment
  • 930 clinicians in this Medicare group
Behavior Analyst
400 BECKER DR STE B
Roanoke Rapids, NC 27870
  • Reassigned Medicare billing, North Carolina enrollment
  • 3 clinicians in this Medicare group

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.

Psychiatry & Neurology (Psychiatry)
905 JOHNS HOPKINS DR
GREENVILLE, NC 27834
Psychiatry & Neurology (Child & Adolescent Psychiatry)
905 JOHNS HOPKINS DR
GREENVILLE, NC 27834
Social Worker (Clinical)
905 JOHNS HOPKINS DR
GREENVILLE, NC 27834
Psychologist
905 JOHNS HOPKINS DR
GREENVILLE, NC 27834
Psychiatry & Neurology (Addiction Medicine)
905 JOHNS HOPKINS DR
GREENVILLE, NC 27834
Counselor (Mental Health)
905 JOHNS HOPKINS DR
GREENVILLE, NC 27834
Registered Nurse (Psychiatric/Mental Health)
905 JOHNS HOPKINS DR
GREENVILLE, NC 27834
Psychiatry & Neurology (Psychiatry)
905 JOHNS HOPKINS DR, ECU PHYSICIANS PSYCHIATRIC MEDICINE- OUTPATIENT CLINIC
GREENVILLE, NC 27834

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 Kelli Long's NPI number?

The NPI number for Kelli Long is 1306578000. It was assigned to this individual provider in the NPPES registry on June 30, 2022.

Where is Kelli Long located?

Kelli Long practices at 905 Johns Hopkins Dr, Greenville, NC 27834. The listed phone number is (252) 744-1406.

What is Kelli Long's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Kelli Long enrolled in Medicare?

Yes. Kelli 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.

Which organizations bill Medicare for Kelli Long's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelli Long reassigns Medicare benefits to 2 organizations: East Carolina University (Greenville, NC) and Grace Pediatric Therapy Services LLC (Roanoke Rapids, NC). Each 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 Kelli Long's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelli Long accept?

Health plans from Blue Cross and Blue Shield of NC list Kelli 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 Kelli Long was last updated on October 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.