KRISTIN MARY LONG - NPI 1487865226 - Marriage & Family Therapist in Albany, CA

Q: What is Kristin Long's NPI number?

The NPI number for Kristin Long is 1487865226. It was assigned to this individual provider in the NPPES registry on May 24, 2007.

Q: What is Kristin Long's specialty?

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

Q: Is Kristin Long enrolled in Medicare?

No. Kristin Long has opted out of Medicare through January 15, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Kristin Long was last updated on September 6, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.

On this page

About Kristin Mary Long NPPES

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

KRISTIN MARY LONG (NPI 1487865226) is an individual marriage & family therapist in Albany, California, licensed in California (MFC 47560) and active in the NPI registry since May 2007. She has opted out of Medicare through January 15, 2028.

NPPES Registry Identity

NPI1487865226

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameKRISTIN MARY LONG

Location Address1035 SAN PABLO AVE STE 8Albany, CA 94706-2277

Mailing Address1035 San Pablo Ave Ste 8Albany, CA 94706-2277 · (510) 423-2846

Phone(510) 423-2846

Sole ProprietorYes

Enumeration DateMay 24, 2007

Last NPPES UpdateSeptember 6, 2016

✔ NPI 1487865226 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 CA · MFC 47560

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.

1035 SAN PABLO AVE STE 8, Albany, CA 94706

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Kristin Mary 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 January 15, 2024 through January 15, 2028.

Opt-Out Effective DateJanuary 15, 2024

Opt-Out In Effect ThroughJanuary 15, 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 8

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

CHILD THERAPY INSTITUTE OF MARIN

Marriage & Family Therapist