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Deactivated NPI 1497064380 Deactivated / Inactive NPI Male Practitioner

David C Long , SUPV

Counselor • Springfield, OH

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, David Long has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 27, 2010
NPI Deactivation Date July 29, 2020
Total Practice Duration ~10 Years of Practice (2010 – 2020)

Professional Overview & Biography Verified Profile Summary

David Long, SUPV was a registered Counselor practicing in Springfield, OH. Throughout an active medical career spanning 10 years, David Long provided care at the practice location at 14 E MAIN ST until profile deactivation on 2020-07-29.

Practice Location & Contact Primary Location

Practice Address

14 E Main St

Springfield, OH 455021358

Telephone 9376319506
Associated Practice Facility / Clinic
🏢 Heartfelt Embrace Home Care Facility NPI 1346117850

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Springfield, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 48.0 Yrs
State Avg: 13.0 Yrs
Regional Practice Density
20 Specialists

Practicing in Springfield, OH (4163 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

State License OH 0000388

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated July 29, 2020

Record deactivated on July 29, 2020

NPI Profile Active September 27, 2010

NPI status registered as active in NPPES database

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Updated Practice Location September 27, 2010

Registered at 14 E MAIN ST, SPRINGFIELD, OH 455021358 (Tel: 9376319506)

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Updated Business Mailing Address September 27, 2010

Registered at PO BOX 2374, SPRINGFIELD, OH 455012374 (Tel: 9376319506)

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Provider Name / Credentials Updated September 27, 2010

Recorded as DAVID LONG, SUPV

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 27, 2010

Counselor (License #0000388 in OH)

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Initial NPI Registration & Enumeration September 27, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1497064380
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 27, 2010
Last Update: September 27, 2010
Deactivation Date: July 29, 2020

Mailing Address

Po Box 2374

Springfield, OH 455012374

Phone: 9376319506

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.