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

Jacob Long, MA

Individual provider Professional Counselor · NPI 1083335285

Jacob Long, MA is a Mental Health Counselor in Mount Airy, North Carolina. Qualified in 2014, 12 years ago. Accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
12
Licensed in
VA
In the registry since
2022
Specialties on file
2
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

149 Gene Hill Rd
Mount Airy, NC 27030-9072
Phone: (336) 553-8147
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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 0704005653 (VA)
Professional Counselor Taxonomy 101YP2500X · Licence 18420 (VA)

Record details

NPI number1083335285
Entity typeIndividual (Type 1)
GenderMale
Credentials MA
Sole proprietorNo
NPI enumeratedSeptember 6, 2022
Last updated in NPPESApril 24, 2023
Certification dateJanuary 31, 2023
Mailing address149 Gene Hill Rd, Mount Airy, NC 27030-9072

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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