MARY MARGARET LONG LCPC, MAC
NPI 1629102124
Counselor - Professional in Apo, AE

Q: What is Mary Long's NPI number?

The NPI number for Mary Long is 1629102124. It was assigned to this individual provider in the NPPES registry on March 15, 2007.

Q: What is Mary Long's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Mary Long was last updated on July 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since March 15, 2007

AVENUE D'OSLO BLDG 401, UNIT 21420, APO, AE 09705(314) 566-5320 Get Directions Write a Review

NPPES record last updated: July 20, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mary Margaret Long Lcpc, Mac NPPES

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

MARY MARGARET LONG LCPC, MAC (NPI 1629102124) is an individual professional provider in Apo, AE, licensed in Idaho (LCPC-3666) and active in the NPI registry since March 2007. She maintains a secondary practice location in Boise.

NPPES Registry Identity

NPI1629102124

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameMARY MARGARET LONGCredential: LCPC, MAC

Location AddressAVENUE D'OSLO BLDG 401, UNIT 21420Apo, AE 09705

Mailing AddressCmr 450 Box 1213Apo, AE 09705-0013 · (326) 536-4377

Phone(314) 566-5320

Sole ProprietorNo

Enumeration DateMarch 15, 2007

Last NPPES UpdateJuly 20, 2021

NPPES CertifiedJune 11, 2021

✔ NPI 1629102124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in ID · LCPC-3666

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 501904

Secondary Practice Location 1

Location 1740 Warm Springs AveBoise, ID 83712-6420 · Phone (208) 343-7797 ext. 221 · Fax (208) 343-0064

Other Identifiers 3

Other000010146797ID · Regence Blue Shield

OtherQ7358ID · Blue Cross Of Idaho

Medicaid002269500ID

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 Mary Long's NPI number?

The NPI number for Mary Long is 1629102124. It was assigned to this individual provider in the NPPES registry on March 15, 2007.

Where is Mary Long located?

Mary Long practices at Avenue D'oslo Bldg 401 Unit 21420, Apo, AE 09705. The listed phone number is (314) 566-5320.

What is Mary Long's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Mary Long was last updated on July 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.