MATT LONG B.A.
NPI 1508957838
Counselor in Jackson, TN

Active since September 28, 2006
45 EXECUTIVE DR, JACKSON, TN 38305(731) 664-2083(731) 664-1988 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Matt Long B.a. NPPES

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

MATT LONG B.A. (NPI 1508957838) is an individual counselor in Jackson, Tennessee and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1508957838
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameMATT LONGCredential: B.A.
Location Address45 EXECUTIVE DRJackson, TN 38305-2337
Mailing Address45 Executive DrJackson, TN 38305-2337 · (731) 664-2083 · Fax (731) 664-1988
Fax(731) 664-1988
Sole ProprietorNo
Enumeration DateSeptember 28, 2006
Last NPPES UpdateJuly 9, 2007
NPI 1508957838 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
45 EXECUTIVE DR, Jackson, TN 38305

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.

Nurse Practitioner
45 EXECUTIVE DR
JACKSON, TN 38305
Counselor
45 EXECUTIVE DR
JACKSON, TN 38305
Counselor
45 EXECUTIVE DR
JACKSON, TN 38305
Social Worker
45 EXECUTIVE DR
JACKSON, TN 38305
Counselor
45 EXECUTIVE DR
JACKSON, TN 38305
Counselor
45 EXECUTIVE DR
JACKSON, TN 38305
Counselor
45 EXECUTIVE DR
JACKSON, TN 38305
Counselor
45 EXECUTIVE DR
JACKSON, TN 38305

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 Matt Long's NPI number?

The NPI number for Matt Long is 1508957838. It was assigned to this individual provider in the NPPES registry on September 28, 2006.

Where is Matt Long located?

Matt Long practices at 45 Executive Dr, Jackson, TN 38305. The listed phone number is (731) 664-2083.

What is Matt Long's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Matt Long was last updated on July 9, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.