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LARA LONG
NPI 1750167243
Counselor - Mental Health in Sacramento, CA

Active since August 31, 2023Opted out of Medicare · through Jul 10, 2027
1 MIRANDA CT, SACRAMENTO, CA 95822(916) 272-4188 Get Directions Write a Review

NPPES record last updated: August 31, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lara Long NPPES

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

LARA LONG (NPI 1750167243) is an individual mental health provider in Sacramento, California and active in the NPI registry since August 2023. She has opted out of Medicare through July 10, 2027.

NPPES Registry Identity

NPI1750167243
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameLARA LONG
Location Address1 MIRANDA CTSacramento, CA 95822-3207
Mailing Address1 Miranda CtSacramento, CA 95822-3207
Phone(916) 272-4188
Sole ProprietorYes
Enumeration DateAugust 31, 2023
NPPES CertifiedAugust 31, 2023
✔ NPI 1750167243 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1 MIRANDA CT, Sacramento, CA 95822
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Lara 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 July 10, 2025 through July 10, 2027.

Opt-Out Effective DateJuly 10, 2025
Opt-Out In Effect ThroughJuly 10, 2027Opt-out affidavits renew automatically every two years unless cancelled

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 Lara Long's NPI number?

The NPI number for Lara Long is 1750167243. It was assigned to this individual provider in the NPPES registry on August 31, 2023.

Where is Lara Long located?

Lara Long practices at 1 Miranda Ct, Sacramento, CA 95822. The listed phone number is (916) 272-4188.

What is Lara Long's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Lara Long enrolled in Medicare?

No. Lara Long has opted out of Medicare through July 10, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Lara Long was last updated on August 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.