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JORDAN LONG
NPI 1407611916
Counselor - Mental Health in San Francisco, CA

Active since February 14, 2024Opted out of Medicare · through Feb 27, 2028
1783 UNION ST, SAN FRANCISCO, CA 94123(415) 322-1599 Get Directions Write a Review

NPPES record last updated: February 14, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jordan Long NPPES

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

JORDAN LONG (NPI 1407611916) is an individual mental health provider in San Francisco, California and active in the NPI registry since February 2024. She has opted out of Medicare through February 27, 2028.

NPPES Registry Identity

NPI1407611916
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJORDAN LONG
Location Address1783 UNION STSan Francisco, CA 94123-4426
Mailing Address1818 Broadway Apt 401San Francisco, CA 94109-2225
Phone(415) 322-1599
Sole ProprietorNo
Enumeration DateFebruary 14, 2024
NPPES CertifiedFebruary 14, 2024
✔ NPI 1407611916 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1783 UNION ST, San Francisco, CA 94123
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Jordan Long has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 27, 2024 through February 27, 2028.

Opt-Out Effective DateFebruary 27, 2024
Opt-Out In Effect ThroughFebruary 27, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 3

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

MIA SCHUMAN
Social Worker (Clinical)
1783 UNION ST
SAN FRANCISCO, CA 94123
San Francisco County (415) 732-9320
ISABEL CLEMENTS
Counselor (Mental Health)
1783 UNION ST
SAN FRANCISCO, CA 94123
San Francisco County (415) 322-1599
MS. MEGHAN ADRIANA JONES PSY.D
Psychologist (Clinical)
1783 UNION ST
SAN FRANCISCO, CA 94123
San Francisco County (513) 675-9091

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 Jordan Long's NPI number?

The NPI number for Jordan Long is 1407611916. It was assigned to this individual provider in the NPPES registry on February 14, 2024.

Where is Jordan Long located?

Jordan Long practices at 1783 Union St, San Francisco, CA 94123. The listed phone number is (415) 322-1599.

What is Jordan Long's specialty?

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

Is Jordan Long enrolled in Medicare?

No. Jordan Long has opted out of Medicare through February 27, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Jordan Long was last updated on February 14, 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.