Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Elizabeth Long

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1356915326

Elizabeth Long is a Mental Health Counselor in Dayton, Ohio. Qualified in 2022, 4 years ago. Practices as a sole proprietor. Licensed in Ohio.

Years since qualifying
4
Licensed in
OH
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

5439 Burkhardt Rd
Dayton, OH 45431-2111
Phone: (937) 791-1440
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence C2204215 (OH)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence C2103225-TRNE (OH)

Record details

NPI number1356915326
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 14, 2021
Last updated in NPPESMay 7, 2025
Certification dateMay 7, 2025
Mailing address928 Croydon Ct, Vandalia, OH 45377-1615

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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