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NANCY LONG
NPI 1629407044
Counselor - Professional in Peoria, IL

Active since November 06, 2013
130 N RICHARD PRYOR PL, PEORIA, IL 61605(309) 671-8084 Get Directions Write a Review

NPPES record last updated: November 6, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nancy Long NPPES

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

NANCY LONG (NPI 1629407044) is an individual professional provider in Peoria, Illinois, licensed in Illinois (180.003331) and active in the NPI registry since November 2013.

NPPES Registry Identity

NPI1629407044
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameNANCY LONG
Location Address130 N RICHARD PRYOR PLPeoria, IL 61605-2484
Mailing Address130 N Richard Pryor PlPeoria, IL 61605-2484
Phone(309) 671-8084
Sole ProprietorNo
Enumeration DateNovember 6, 2013
✔ NPI 1629407044 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in IL · 180.003331
130 N RICHARD PRYOR PL, Peoria, IL 61605
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Other Identifiers 1

Other180.003331IL · Il Lcpc

Other Providers at the Same Location NPPES 3

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

DANIEL T SHEEN MA
Counselor (Mental Health)
130 N RICHARD PRYOR PL
PEORIA, IL 61605
Peoria County (309) 671-8084
HUMAN SERVICE CENTER
Substance Abuse Rehabilitation Facility
130 N RICHARD PRYOR PL
PEORIA, IL 61605
Peoria County (309) 671-8005
HUMAN SERVICE CENTER
Clinic/Center (Mental Health (Including Community Mental Health Center))
130 N RICHARD PRYOR PL
PEORIA, IL 61605
Peoria County (309) 671-8005

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 Nancy Long's NPI number?

The NPI number for Nancy Long is 1629407044. It was assigned to this individual provider in the NPPES registry on November 6, 2013.

Where is Nancy Long located?

Nancy Long practices at 130 N Richard Pryor Pl, Peoria, IL 61605. The listed phone number is (309) 671-8084.

What is Nancy 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 Nancy Long was last updated on November 6, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.