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

Mr. Jeremy De Wayne Long, LMHC, LPC

Individual provider Mental Health Counselor · NPI 1831458561

Mr. Jeremy De Wayne Long, LMHC, LPC is a Mental Health Counselor in West Melbourne, Florida. Works from 3 locations. Licensed in Florida and Wisconsin.

Licensed in
FL, WI
In the registry since
2012
Specialties on file
2
What do these letters mean?
LMHC — Licensed Mental Health Counselor
A licensed mental health counsellor; the title used in Florida, New York and Washington among others.
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

870 Hollywood Blvd
West Melbourne, FL 32904-7418
Phone: (800) 438-1772
Fax: (262) 345-5562
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 690 Friday Rd, Cocoa, FL 32926-3317 — (321) 636-9941
  • W175n11120 Stonewood Dr, Germantown, WI 53022-4799 — (800) 438-1772

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 5617-125 (WI)
Mental Health Counselor Taxonomy 101YM0800X · Licence MH 11075 (FL)

Record details

NPI number1831458561
Entity typeIndividual (Type 1)
GenderMale
Credentials LMHC , LPC
Sole proprietorNo
NPI enumeratedMay 15, 2012
Last updated in NPPESAugust 24, 2020
Certification dateAugust 24, 2020

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