Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1053738120 Individual Practitioner Female Practitioner

Connie Ann Long

Counselor • Eugene, OR

Professional Overview & Biography Verified Profile Summary

Connie Long is a registered healthcare professional specializing in Counselor in Eugene, OR. Practice services are available at 2727 MLK BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2727 Mlk Blvd

Eugene, OR 974015901

Telephone 5416827948

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Eugene, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.1 Yrs
State Avg: 12.6 Yrs
Regional Practice Density
534 Specialists

Practicing in Eugene, OR (4551 Statewide)

Telehealth Adoption Rate
0.6% 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

CMS Verified: 2024-01-11
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Denise Gardner

Case Manager/Care Coordinator

NPI 1124975990
Jacob Musick

Counselor - Mental Health

NPI 1518783992
Caitlyn Lynde

Case Manager/Care Coordinator

NPI 1649074253
Shellye Reynoso

Counselor - School

NPI 1760310668
Viriam Khalsa

Behavior Analyst

NPI 1972901858

Career & Practice History Timeline

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

13 Historical Events
📍
Updated Practice Location January 11, 2024

Registered at 2727 MLK BLVD, EUGENE, OR 974015901 (Tel: 5416827948)

📍
Updated Business Mailing Address January 11, 2024

Registered at 2727 MLK BLVD, EUGENE, OR 974015901 (Tel: 5416827948)

NPI Profile Active August 24, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location August 24, 2017

Registered at 1355 OAK ST STE 100, EUGENE, OR 974013566 (Tel: 5416831125)

📍
Updated Business Mailing Address August 24, 2017

Registered at 1355 OAK ST #100, EUGENE, OR 97401 (Tel: (541) 683-1125)

👤
Provider Name / Credentials Updated August 24, 2017

Recorded as CONNIE LONG

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 24, 2017

Counselor

NPI Profile Active March 26, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location March 26, 2014

Registered at 1666 W 12TH AVE, EUGENE, OR 974023716 (Tel: 5413022554)

📍
Updated Business Mailing Address March 26, 2014

Registered at 1790 W 11TH AVE, EUGENE, OR 974023758 (Tel: 5416862611)

👤
Provider Name / Credentials Updated March 26, 2014

Recorded as CONNIE LONG

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 26, 2014

Counselor

🟢
Initial NPI Registration & Enumeration March 26, 2014

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: 1053738120
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 26, 2014
Last Update: January 11, 2024
Sole Proprietor: No

Mailing Address

2727 Mlk Blvd

Eugene, OR 974015901

Phone: 5416827948

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.