KEVIN LONGO M.A
Complete NPI Record 1285757930
Counselor - Addiction (Substance Use Disorder) in Manchester, NH
NPI Status: Active since April 09, 2007
- NPI
- Entity Type Code
- Provider Last Name Legal Name
- Provider First Name
- Provider Credential Text
- Provider First Line Business Mailing Address
- Provider Business Mailing Address City Name
- Provider Business Mailing Address State Name
- Provider Business Mailing Address Postal Code
- Provider Business Mailing Address Country Code If outside U S
- Provider Business Mailing Address Telephone Number
- Provider First Line Business Practice Location Address
- Provider Business Practice Location Address City Name
- Provider Business Practice Location Address State Name
- Provider Business Practice Location Address Postal Code
- Provider Business Practice Location Address Country Code If outside U S
- Provider Business Practice Location Address Telephone Number
- Provider Enumeration Date
- Last Update Date
- Provider Gender Code
- Healthcare Provider Taxonomy Code 1
- Healthcare Provider Primary Taxonomy Switch 1
- Is Sole Proprietor
Complete NPI Dataset
This page represents the complete record for NPI 1285757930. You can access the complete dataset, including a full list of field names, along with their values, and definitions as recorded by the NPI registry. Each field in the NPI record is explained, highlighting its significance and the possible values it can hold.
- NPI: 1285757930
- The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
- Entity Type Code: 1
- Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
- Provider Last Name Legal Name: LONGO
- The last name of the provider. If the provider is an individual, this is the legal name.
- Provider First Name: KEVIN
- The first name of the provider, if the provider is an individual.
- Provider Credential Text: M.A
- Other last name by which the provider being identified is or has been known.
- Provider First Line Business Mailing Address: 20 MARKET ST
- Other first name by which the provider being identified is or has been known (if an individual). This may be the same as the ‘‘Provider first name’’ if the provider is or has been known by a different last name only.
- Provider Business Mailing Address City Name: MANCHESTER
- Other middle name by which the provider being identified is or has been known (if an individual). This may be the same as the ‘‘Provider middle name’’ if the provider is or has been known by a different last name only.
- Provider Business Mailing Address State Name: NH
- Code identifying the type of other name. Codes are: 1 = former name; 2 = professional name; 3 = doing business as (d/b/ a) name; 4 = former legal business name; 5 = other.
- Provider Business Mailing Address Postal Code: 031011957
- The first line mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider first line location address’’.
- Provider Business Mailing Address Country Code If outside U S : US
- The city name in the mailing address of the provider being identified.
- Provider Business Mailing Address Telephone Number: 6036224747
- The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address State name’’.
- Provider First Line Business Practice Location Address: 20 MARKET ST
- The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as ‘‘Provider location address postal code’’.
- Provider Business Practice Location Address City Name: MANCHESTER
- The country code in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address country code’’.
- Provider Business Practice Location Address State Name: NH
- The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address telephone number’’.
- Provider Business Practice Location Address Postal Code: 031011957
- The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address fax number’’.
- Provider Business Practice Location Address Country Code If outside U S : US
- The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
- Provider Business Practice Location Address Telephone Number: 6036224747
- The city name in the location address of the provider being identified.
- Provider Enumeration Date: 4/9/2007
- The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
- Last Update Date: 7/8/2007
- The country code in the location address of the provider being identified.
- Provider Gender Code: M
- The telephone number associated with the location address of the provider being identified.
- Healthcare Provider Taxonomy Code 1: 101YA0400X
- The fax number associated with the location address of the provider being identified.
- Healthcare Provider Primary Taxonomy Switch 1: Y
- The date the provider was assigned a unique identifier (assigned an NPI).
- Is Sole Proprietor: N
- The date that a record was last updated or changed.