MR. SHANE RAYMOND LONG L.M.F.T.
NPI 1447521356
Marriage & Family Therapist in New Brighton, MN

Active since January 24, 2012PECOS EnrolledAccepts Medicare Assignment
516 MISSION HOUSE LN, NEW BRIGHTON, MN 55112(651) 636-5120(651) 636-5124 Get Directions Write a Review

NPPES record last updated: January 24, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Shane Raymond Long L.m.f.t. NPPES

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

MR. SHANE RAYMOND LONG L.M.F.T. (NPI 1447521356) is an individual marriage & family therapist in New Brighton, Minnesota, licensed in Minnesota (2462) and active in the NPI registry since January 2012. He is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1447521356
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameMR. SHANE RAYMOND LONGCredential: L.M.F.T.
Location Address516 MISSION HOUSE LNNew Brighton, MN 55112-2571
Mailing Address516 Mission House LnNew Brighton, MN 55112-2571 · (651) 636-5120 · Fax (651) 636-5124
Fax(651) 636-5124
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateJanuary 24, 2012
NPI 1447521356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License Licensed in MN · 2462
Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

516 MISSION HOUSE LN, New Brighton, MN 55112

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

Mr. Shane Raymond Long L.m.f.t. 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 ID4183146202
PECOS Enrollment IDI20250318003751
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.

Other Providers at the Same Location NPPES 7

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

Psychologist (Counseling)
516 MISSION HOUSE LN
NEW BRIGHTON, MN 55112
Psychologist (Counseling)
516 MISSION HOUSE LN
NEW BRIGHTON, MN 55112
Marriage & Family Therapist
516 MISSION HOUSE LN
NEW BRIGHTON, MN 55112
Psychologist (Health Service)
516 MISSION HOUSE LN
NEW BRIGHTON, MN 55112
Marriage & Family Therapist
516 MISSION HOUSE LN
NEW BRIGHTON, MN 55112
Psychologist (Counseling)
516 MISSION HOUSE LN
NEW BRIGHTON, MN 55112
Specialist
516 MISSION HOUSE LN
NEW BRIGHTON, MN 55112

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 Shane Long's NPI number?

The NPI number for Shane Long is 1447521356. It was assigned to this individual provider in the NPPES registry on January 24, 2012.

Where is Shane Long located?

Shane Long practices at 516 Mission House Ln, New Brighton, MN 55112. The listed phone number is (651) 636-5120.

What is Shane Long's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Shane Long enrolled in Medicare?

Yes. Shane 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.

When was this NPI record last updated?

The NPPES record for Shane Long was last updated on January 24, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.