ANDREA LONGO – Professional Counselor, NPI 1063801249

ANDREA LONGO is a healthcare provider. based in Youngstown, Ohio. specializing in MENTAL HEALTH COUNSELOR. They hold a License No. E.1700246-SUPV (OH). The NPI Number for ANDREA LONGO is 1063801249

Main info

Female
13 Years Of Experience
Name
ANDREA LONGO
NPI
1063801249
Phone
(330) 747-9551
Address
726 WICK AVE
Enumeration Date
12 January 2015
Last Update Date
30 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2013 (13 years ago)
PAC ID
8426409178
Group Practice PAC ID
3476623026
Professional Enrollment ID
I20240108003635
Address ID
OH445126254BO8261XSTXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:11State licenses:1Digital endpointsOther names

2,538 MENTAL HEALTH COUNSELOR in OH

Provider Addresses for ANDREA LONGO

  • 726 WICK AVE

    YOUNGSTOWN, OH 445052827

    Phone: (330) 747-9551

    Type: Mailing

  • 8261 MARKET ST

    BOARDMAN, OH 445126254

    Phone: (330) 286-0050

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-01-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240108003635IMental Health CounselorOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 44505)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3476623026View full group profile
NameSpecialtyState
Nurse PractitionerOH
Mental Health CounselorOH
Mental Health CounselorOH
Nurse PractitionerOH
Mental Health CounselorOH
Mental Health CounselorOH
-OH
Mental Health CounselorOH
Nurse PractitionerOH
-OH

Reviews

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Frequently asked questions

What is ANDREA LONGO's NPI number?
ANDREA LONGO's NPI is 1063801249 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to ANDREA LONGO?
You should see ANDREA LONGO as active in CMS-hosted NPPES data.
What clinical focus is listed for ANDREA LONGO?
At a glance, ANDREA LONGO is tied to Professional Counselor. Clinical services aligned with this taxonomy classification.
What practice footprint exists for ANDREA LONGO?
Travel planning: use Youngstown, Ohio as the reference point for ANDREA LONGO, then confirm.
When was this NPI issued?
Enumeration for ANDREA LONGO is noted as January 12, 2015 where the registry provides it.

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