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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: October 18, 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
Phone(651) 636-5120
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
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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

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.

Medicare Billing Reassignment

Medicare enrollment records show Shane Long reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Chris Frank Counseling
0.8 mi
Professional
4301 BENJAMIN ST NE
Columbia Heights, MN 55421
  • Reassigned Medicare billing, Minnesota enrollment
  • 3 clinicians in this Medicare group
NPI 1477995629 (651) 317-9355

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 7

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

MARY LOU HONSTEAD PH.D., L.P.
Psychologist (Counseling)
516 MISSION HOUSE LN
NEW BRIGHTON, MN 55112
Ramsey County (651) 636-5120
NORTH CENTRAL MINISTRY DEVELOPMENT CENTER, INC.
Psychologist (Counseling)
516 MISSION HOUSE LN
NEW BRIGHTON, MN 55112
Ramsey County (651) 636-5120
MRS. SARAH ELIZABETH PARKER LMFT
Marriage & Family Therapist
516 MISSION HOUSE LN
NEW BRIGHTON, MN 55112
Ramsey County (651) 636-5120
KELLY JORDAN PHD
Psychologist (Health Service)
516 MISSION HOUSE LN
NEW BRIGHTON, MN 55112
Ramsey County (651) 636-5120
SUSAN M. R. NIENABER LMFT
Marriage & Family Therapist
516 MISSION HOUSE LN
NEW BRIGHTON, MN 55112
Ramsey County (651) 636-5120
DR. MARK ELMER SUNDBY PH.D.
Psychologist (Counseling)
516 MISSION HOUSE LN
NEW BRIGHTON, MN 55112
Ramsey County (651) 636-5120
CAROLINE A BURKE PH.D., LP
Specialist
516 MISSION HOUSE LN
NEW BRIGHTON, MN 55112
Ramsey County (651) 636-5124

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.

Which organization bills Medicare for Shane Long's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shane Long reassigns Medicare benefits to Chris Frank Counseling (Columbia Heights, MN). The 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 Shane Long's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Shane Long was last updated on January 24, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.