MR. SHANE RAYMOND LONG L.M.F.T.
NPI 1447521356
Marriage & Family Therapist in New Brighton, MN

NPI Status: Active since January 24, 2012

Contact Information

516 MISSION HOUSE LN
NEW BRIGHTON, MN
ZIP 55112
Phone: (651) 636-5120
Fax: (651) 636-5124

Get Directions Reviews

  • Individual
  • Male
  • Years of Experience 18
  • Marriage & Family Therapist
  • May Accept Medicare Approved Payment
  • PECOS Enrolled

About SHANE LONG

This page provides the complete NPI Profile along with additional information for Shane Long, a provider established in New Brighton, Minnesota with a medical specialization in Marriage & Family Therapist and more than 18 years of experience. The healthcare provider is registered in the NPI registry with number 1447521356 assigned on January 2012. The practitioner's primary taxonomy code is 106H00000X with license number 2462 (MN). The provider is registered as an individual and his NPI record was last updated 14 years ago.

NPI
1447521356
Provider Name
MR. SHANE RAYMOND LONG L.M.F.T.
Gender
Male
Entity Type
Individual
Location Address
516 MISSION HOUSE LN NEW BRIGHTON, MN 55112
Location Phone
(651) 636-5120
Location Fax
(651) 636-5124
Mailing Address
516 MISSION HOUSE LN NEW BRIGHTON, MN 55112
Mailing Phone
(651) 636-5120
Mailing Fax
(651) 636-5124
Medical School Name
OTHER
Graduation Year
2008
Is Sole Proprietor?
No
Enumeration Date
01-24-2012
Last Update Date
01-24-2012
Code Navigator

A marriage and family therapist like Shane Long help patients manage problems with their family and other relationships. Marriage and family therapists encourage clients to discuss their emotions and experiences and, develop strategies and skills to change behavior and cope with difficult situations. Many therapists apply cognitive behavioral therapy to help patients understand harmful thoughts, feelings, and also teach patients how to replace them with positive, life-enhancing ones.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Marriage & Family Therapist

Taxonomy Code
106H00000X
Type
Behavioral Health & Social Service Providers
License No.
2462
License State
MN
Taxonomy Description
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

Medicare Participation & PECOS Enrollment Status

Shane Long is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.

Shane Long is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 4183146202

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20250318003751

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Maybe

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

Reviews for MR. SHANE RAYMOND LONG L.M.F.T.

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1447521356
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
24871022310
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 8 + 7 + 1 + 0 + 2 + 2 + 3 + 1 + 0 + 24 = 54
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 54 = 66

The NPI number 1447521356 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 7 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1710278502DR. MARK ELMER SUNDBY PH.D.
Individual
Psychologist (Counseling)516 MISSION HOUSE LN
NEW BRIGHTON, MN 55112
(651) 636-5120
1033401542 MARY LOU HONSTEAD PH.D., L.P.
Individual
Psychologist (Counseling)516 MISSION HOUSE LN
NEW BRIGHTON, MN 55112
(651) 636-5120
1801161641 CAROLINE A BURKE PH.D., LP
Individual
Specialist516 MISSION HOUSE LN
NEW BRIGHTON, MN 55112
(651) 636-5124
1356826325 KELLY JORDAN PHD
Individual
Psychologist (Health Service)516 MISSION HOUSE LN
NEW BRIGHTON, MN 55112
(651) 636-5120
1245861798MRS. SARAH ELIZABETH PARKER LMFT
Individual
Marriage & Family Therapist516 MISSION HOUSE LN
NEW BRIGHTON, MN 55112
(651) 636-5120
1639946296 SUSAN M. R. NIENABER LMFT
Individual
Marriage & Family Therapist516 MISSION HOUSE LN
NEW BRIGHTON, MN 55112
(651) 636-5120
1164711735NORTH CENTRAL MINISTRY DEVELOPMENT CENTER, INC.
Organization
Psychologist (Counseling)516 MISSION HOUSE LN
NEW BRIGHTON, MN 55112
(651) 636-5120

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1447521356, enumerated in the NPI registry as an "individual" on January 24, 2012

The provider is located at 516 Mission House Ln New Brighton, Mn 55112 and the phone number is (651) 636-5120

The provider's speciality is Marriage & Family Therapist with taxonomy code 106H00000X

The provider has more than 18 years of experience.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

This NPI record was last updated on January 24, 2012. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.